Safety Enquiry Form
First Name
*
Last Name
*
Email Address
*
Contact
*
Suburb
*
I would like to:
*
Receive information about the Seniors Safety Seminar.
Receive information about fraud, scams and online safety.
Enquire about safety talks for seniors groups.
Subscribe to Community Safety e-Newsletter to stay up to date with information and hear about tips, resources and upcoming events.
General enquiry
Privacy Statement
In submitting this form, you consent to Council:
1. collecting your personal information as contained in the form; and
2. using the information for the purposes outlined in the form.
Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.
You may access any of your personal information that Council holds upon request.
*
Please wait, files are uploading..
Submit