Thank you for your interest in being a part of the Marion 100 Community Summit!
CONTACT DETAILS
please note these details will not be used as part of the selection process.
Name
Maximum 255 characters
0/255
Mailing address
email address
contact number
DEMOGRAPHIC DATA
please note these details will be used as part of the selection process
Gender
Age range
Suburb
Are you Aboriginal & Torres Strait Islander?
Language spoken at home (tick all that apply)
ADDITIONAL INFORMATION
To help with event planning
The next meeting will take place in May after 5pm on a weekday at Mitchell Park Sports and Community Centre. Will you be available to attend if selected?
Do you need any additional support to attend?
(Such as an interpreter, to bring a carer, to access a creche, or transport to the venue)
We hope to offer light refreshments. Do you have any dietary requirements?
Catering will include a variety of dietary and HALAL options
