Celebrate Ageing | Seniors Month Event Registration

Section 1: Event or Activity Information

This information will be used in the official Celebrate Ageing Seniors Month Event Guide.

You can add multiple events and or activities –> click on the ‘Add Another Event’ button. **When you’re finished, please ensure that you click the yellow ‘Submit’ button, and allow it time to process. Sometimes it can take a little time to complete. You should receive a confirmation screen and an email confirming your submission – if you don’t, please try submitting the form again and/or trying a different browser.**

Event or Activity Name *

Event or Activity Description *

0 of 100 max words

Please provide brief, informative and catchy 100 word description that will encourage people to attend your event. Hint: What is the main activity? Why will it be enjoyable, and who will enjoy it? Here is an example:

Potted Herbs and Lunch in the Garden
Visit your community garden and learn about herbs, their uses and how to pot one up and take home. Enjoy fabulous garden vegetable soup and sandwiches for lunch.

Event Date(s)

Seniors Month runs from 1 October – 31 October 2026.

Building Name

Address *

Suburb *

Start Time *

End Time *

Phone number for attendees to contact you on:

Event Costs *

Free

Gold Coin

Entry Fee

Entry Fee *

e.g. Adults $10, Seniors $8, Children $5

Does this Celebrate Ageing Seniors Month activity, or a version of this activity, run all year round? If so, we will add a ‘repeat event’ icon in the printed Guide.

Yes

No

Additional Notes

0 of 100 max words

If your event or activity time, location, or prices are outside the parameters of this form (for example if your event is to be held online), please use this box to let us know all the details.

Is your organisation currently welcoming new volunteers? If so, we will add a “Volunteers Tas” icon in the printed Guide.

Yes

No

Is this an online event, or have an online option? If so, we will add an online icon in the printed Guide.

Yes

No

Does your event require bookings? *

Yes

No

Bookings Phone Number

If you receive an error for this field, try removing the spaces between numbers.

Bookings Email Address

If applicable

Bookings Website/URL

If applicable

Bookings Close Date *

Enquiries Phone Number (if different to Bookings Phone Number)

If you receive an error for this field, try removing the spaces between numbers.

Which region should your event be listed under in the Events Guide?

SOUTH (Hobart, Huon Valley, Derwent Valley, Kingborough, Brighton, Glenorchy, Clarence, Tasman, Sorell, Central Highlands, Southern Midlands)

NORTH (Launceston, West Tamar, George Town, Meander Valley, Dorset, Flinders, Northern Midlands)

NORTH-WEST (West Coast, Waratah–Wynyard, Circular Head, Burnie, Central Coast, Kentish, Devonport, Latrobe, King Island)

EAST (Glamorgan–Spring Bay, Break O’Day) (subject to sufficient numbers)

STATEWIDE

ONLINE ONLY

Add Another Event Remove Event

Section 2: Event or Activity Host

This information is for office use only and will not be published.

Your First Name *

Your Last Name *

Organisation Name *

Organisation Email *

Phone Number(s) *

If you receive an error for this field, try removing the spaces between numbers.

Section 3: Declarations and Disclaimer

There are a few things we need to check with you.

I, the undersigned, declare that I am an authorised representative of the Organisation named in this registration and have the authority to sign on its behalf. I confirm that: I have read and understood this Declaration and Disclaimer and acknowledge that it is binding on the Organisation. The information provided in this Registration Form is true and correct to the best of my knowledge. The Organisation’s activities will be conducted in accordance with all applicable laws, including public health and safety requirements, and any rights and obligations relevant to individuals attending the activity. The Organisation holds appropriate insurance cover for risks arising from its activities. COTA Tasmania (Council on the Ageing) Incorporated, including its employees, agents and contractors, is not responsible for any loss or damage suffered by the Organisation in connection with its inclusion in the Celebration Ageing Seniors Month Event Guide. This includes, but is not limited to, any negligent act or omission. The Organisation agrees to indemnify COTA Tasmania (Council on the Ageing) Incorporated and its employees, agents and contractors against any loss, damage or legal liability incurred as a result of the Organisation’s activities or inclusion in the Celebration Ageing Seniors Month Event Guide, including damage to property or financial loss suffered by third parties. The Organisation will not claim or imply that inclusion in the Celebration Ageing Seniors Month Event Guide or use of the Celebration Ageing Seniors Month logo constitutes endorsement or support of the Organisation, its products or services by COTA Tasmania. The decision of COTA Tasmania regarding the inclusion of events in the Celebration Ageing Seniors Month Events Guide is final and no further correspondence will be entered into. The Organisation acknowledges that applications to be included in the Celebration Ageing Seniors Month Events Guide must be received by the due date. Late submissions may not be accepted. If an event is cancelled or amended after submission, the Organisation will notify COTA Tasmania as soon as possible. While COTA Tasmania will make reasonable efforts to update event information, changes may not be reflected in printed materials. If an event has required bookings, it is the responsibility of the Organisation to contact all persons who have booked about the cancellation. *

I agree

Section 4: Celebrate Ageing Seniors Month Events Guide Requirements

This information is for office use only and will not be published in the Celebrate Ageing Seniors Month Events Guide. Guides should be available for collection at Service Tasmania shops, libraries and local councils.

Do you want us to post copies of the Celebrate Ageing Seniors Month Events Guide directly to you? *

Yes

No

Address

Suburb

State

Postcode

This is where we will post copies of the program.

How many copies of the Events Guide do you require?

How would you like to receive Celebrate Ageing Seniors Month Event Host information? *

Email

Post

Last step

Are you finished? Please make sure you click the yellow SUBMIT button below! Sometimes it can take a minute or so to complete, so please be patient. You should receive an email straight away confirming your submission.