Victorian Bushfire Emergency

The 2019/2020 Victorian Bushfire Emergency is currently affecting communities across the state. We will continue to keep you updated on our efforts to support communities affected by bushfires. To find out more and how you can support the Victorian Bushfire Appeal, visit our Victorian Bushfire Emergency page.

Youth Leadership Team application form

This application form must be completed by the parent/guardian of the participant, unless the participant is over 16 years of age, in which case it may be completed by the participant only. Please download and read our conditions of participation.

(Please enter your mobile number with no spaces)
(please enter phone number with no spaces)
(include name and telephone number)
(please enter phone number with no spaces)
(please enter phone number with no spaces)
(please enter phone number with no spaces)

Privacy

The personal and health information is being collected to enable us to administer the Youth Leadership program you are enrolling in and to ensure everyone’s safe participation. If you would like to know more about privacy at Glen Eira City Council, including your right to seek access to any information collected on this form, please see our Privacy Policy and Health Records Policy or contact Council’s privacy officer on 9524 3333.