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Online forms: Parent and Community Workshop

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Name Required

Email address Required

Phone number Required

Suburb Required

Any allergy/dietary requirements (we will be providing light refreshments)

Do you want to be added to the Youth Services mailing list? Required Yes No

I understand the City of Wanneroo, or its representatives may take photographs during this event and may use photographs of me in publications (electronic or otherwise). I acknowledge I have no claim against the City of Wanneroo for any reward as a result of such publication. Required Yes, I authorise the City of Wanneroo to use photographs of me. No, I do not authorise the use of any photos of me taken at the event.