9am–2pm Thursday 10 October

Coordination Centre, 15 Vernon Street, Atherton

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We are collecting your personal information in accordance with the Information Privacy Act 2009 for the purpose of processing this application/request. The information will be only accessed by authorised employees. Your information will not be given to any other person or agency unless you have given us permission, or we are required by law.

Name*

First Last

Where do you live?*

Town

Phone*

Do you have any special needs or requirements (including dietary)?*

Yes

Please provide details*

How did you hear about this session?*

Tick all that apply.

TRC Social media

Word of mouth

TRC e-newsletter

Newspaper

Other

Please provide details*

By submitting this form you are agreeing to the conditions of our photo, filming and recording consent. If you do not wish to be filmed, photographed or recorded, please notify the organiser on arrival.

Senior Safety Squad