Register on the Community Directory

By completing and submitting this form you agree that the information is correct and you have permission to have it listed in the Community Directory,

Name of Group

Street Address

Postal Address

Phone

Website

Service/Group description

Target Group

Fees

Are any of your facilities for hire?

	Yes	No
Please Tick	Yes	No

Are your facilities fully accessible to a person with a disability?

	Yes	No
Please Tick	Yes	No

The following information is NOT for publication

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Email address for updates

By submitting this form you agree that the information is correct and you have permission to apply for listing in the Community Directory

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