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Application form

Please indicate the Award you would like to enter by placing a tick in the appropriate box. Applications will only be eligible for one category per program. A separate Application Form is required for each entry.

Fields marked with an * are mandatory
Please provide the following details with your application:
I agree to the terms and conditions of entry (below) * (required)
How did you hear about this program? * (required)

Please enter the code into the box below
Type the letters in the image or Type the first letter of the words spoken in the audio. 

Safe City staff will contact you should further information be required.

Terms and conditions

  1. Entries close 30 September each year. Late entries will not be accepted.
  2. Previous winners are not eligible to renominate for the same program within three (3) years.
  3. The judges’ decision is final and no correspondence will be entered into regarding their decision.
  4. Entrants agree to have their photograph used for publicity purposes.
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