Leisure Programs Enrolment Form

Applicant Information

INFORMATION PRIVACY
Privacy – Council is collecting this information for the purpose of registering your child for the Hume City Council Leisure Programs. The information will be used for administration purposes and to contact you in the event of an emergency, but will not be disclosed to any other party except as required by law. If you fail to provide this information, the registration may not be processed. This information will also be used to provide you with details regarding the Leisure Programs activities. You may access this information by contacting Council on 9205 2200.

1. Is this enrolment form for yourself or your child? *This question is required.

2. Name *This question is required.

3. Childs Name *This question is required.

3. Surname *This question is required.

4. Phone *This question is required.

5. Email *This question is required.

6. Home address *This question is required.

7. Date of Birth *This question is required.