AUSTRALIAN DARK SKY REGISTER
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AUSTRALIAN DARK SKY REGISTER
DARK SKY TOWN NOMINATION FORM

USE THIS FORM WHEN NOMINATING A DARK SKY TOWN (NOT A SITE)

ORGANISATION INFORMATION

NAME OF ORGANISATION OR GROUP:   ……………………………………………………………………………………

CONTACT PERSON:   ……………………………………………………………………………………………………………

POSITION IN ORGANISATION:  ………………………………………………………………………………………………..

POSTAL ADDRESS:  ……………………………………………………………………………………………………………..

…………………………………………………………………………….....................  POSTCODE:  ………………………..

TELEPHONE:  ……………………………………………  EMAIL:  ……………………………………………………………

WEBSITE:  …………………………………………………………………………….

DARK TOWN INFORMATION

TOWN NAME:  ……………………………………………………………………………………  STATE: …………………



TOWN CO-ORDINATES (lat/long):  ……………………………………………………………………………………………..

DARKNESS LEVELS IN PUBLIC PARKS/SPORTS GROUNDS ETC (see Criteria notes):  ………………………..…

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SQM READINGS (if known):  …………………………………………………………………………………………………….

DESCRIPTION OF SITES:  ……………………………………………………………………………………………… ………

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OPEN PUBLIC ACCESS  (yes/no): …………………………  RESTRICTED ENTRY (yes/no):  ………………………...

IF RESTRICTED ACCESS PLEASE EXPLAIN PUBLIC ACCESS ARRANGEMENTS:  ……………………………….

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DISABILITY ACCESS (yes/no):  …………………    PUBLIC TOILET ACCESS (yes/no):  ……………………..

DOES ANYONE HOLD STARGAZING EVENTS AT THESE SITES (yes/no): ……………………..

IF YES, PLEASE EXPLAIN:  ……………………………………………………………………………………………………

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SUPPORTING INFORMATION

ACTION BEING TAKEN BY YOU OR YOUR ORGANISATION TO REDUCE LIGHT POLLUTION, AND TO PREVENT FURTHER INCREASE IN LIGHT POLLUTION, IN YOUR TOWN:

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FURTHER COMMENTS TO ASSIST IN YOUR NOMINATION:  ……………………………………………………………

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Signature of above named applicant ...............................................................................................................  Date: .....................................................


PLEASE INCLUDE COPIES OF ANY DOCUMENTATION LISTED IN THE CRITERIA WITH YOUR APPLICATION



PLEASE PRINT OUT (right click/print) AND COMPLETE THE ABOVE NOMINATION FORM AND 
POST WITH ALL DOCUMENTATION TO:

AUSTRALIAN DARK SKY REGISTER

Suite 323 M Centre
11 Palmerston Lane
​Manuka ACT 2603


 
NOTE:

- NO FEES ARE REQUIRED TO REGISTER ON THE AUSTRALIAN DARK SKY REGISTER

- ANY COSTS FOR SIGNAGE ARE THE REGISTERED MEMBERS RESPONSIBILITY

- ADSR MEMBER LOGO MAY BE PLACED ON REGISTERED MEMBERS WEBSITES, LETTERHEADS ETC

- ANY ADSR LOGO USED ON MEMBERS WEBSITES MUST LINK BACK TO THIS ADSR WEBSITE

- NON-REGISTERED GROUPS, ORGANISATIONS OR INDIVIDUALS MUST NOT USE THE NAME, ARTWORK, NAME, SIGNAGE OR LOGO OF THE ‘AUSTRALIAN DARK SKY REGISTER’
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  • Home
  • About
  • Locations
  • Criteria
  • Nominate
    • NOMINATE A SITE
    • NOMINATE A TOWN