Youth Environment Summit

Your Details

First Name *

Last Name *

Date of Birth *

Preferred Pronouns

Email Address *

Phone Number *

Street address *

City *

State *

Postcode *

Name of school or other education institute (e.g. TAFE, University) you attend? *

What do you hope to learn or gain from this Environment Summit? *

Workshops

Please select the days you are able to attend *

Friday 2nd May, 5:15-8:15 pmSaturday 3rd May, 10 am to 5 pmSunday 4th May, 10 am to 5 pm

while we encourage you to come for the whole weekend, we understand you may have other commitments

Saturday Workshops

Some workshops will be running at the same time, and you will you will have the option of selecting your preferred session. Please select your preferred workshop (see above for more information on each workshop).

Kayaking and Nature Exploration: Paddle Through the WildBeach Clean-Up Workshop: Protecting Our Shorelines, One Piece at a Time

Sunday Workshops

Some workshops will be running at the same time, and you will you will have the option of selecting your preferred session. Please rank the workshops below in order of your preference of attending from 1 (top preference) to 5 (last preference). See above for more information on each workshop.

Please tell us how you heard about the Summit? *

Declaration

I have read and agree with the Warrnambool City Council Privacy Policy *

Read the Warrnambool City Council privacy Policy here
This personal information is being collected by Warrnambool City Council to apply for or register your interest in a Youth Engagement program or any other directly related purpose. It will not be disclosed to any other external party without your consent, unless required or authorised by law. If the personal information is not collected we will not be able to contact you with more information about the program you have inquired about. If you wish to alter any of the personal information you have supplied to Warrnambool City Council, please contact Council and ask to speak to Youth Services via 55594800 or email youthservices@warrnambool.vic.gov.au.