The Youthie School Holidays - Booking Form

Your Details

Full Name* - required

Street Address* - required

Suburb* - required

State* - required

Postcode* - required

Phone Number* - required

Date of Birth* - required

Email Address* - required

Do you consent to Tamworth Regional Council updating their records with the information provided above?* - required

I agree to be responsible and conduct myself with the highest integrity whilst participating in events held at the Tamworth Regional Youth Centre. I will remain in designated areas at all times as instructed by Youth Workers.* - required

Are you under 18 years of age?* - required

Yes No

Do you have a disability or medical condition?

Activities

Please select the activity session/s you would like to attend:

Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB).