2017 Seniors Week Calendar of Events If you’re a non-profit group holding a free or low-cost event during Seniors Week, please let us know so we can include it in the 2017 Gold Coast Seniors Week calendar. To submit your event please complete and return this form by Friday 7 July 2017, by email: [email protected] or fax: 07 5581 5203. Once complete, the calendar of events will be available online and in hard-copy at various City locations. For further information visit our cityofgoldcoast.com.au/seniorsweek web page or phone 07 5581 6642. Event name Event date Venue address Cost (tick) Free Start time Finish time Bookings required (tick) $ Yes No Brief description of event (15 words or less) Name of organisation Phone Contact person Email Please tick I give permission for this information to be shared with COTA Qld for the purpose of promotion of Seniors Week events/ inclusion in COTA’s online calendar of events. Yes No I have read and understood the Information Collection Notice over page and agree that any information provided on this form can be used for promotion of the event as part of Seniors Week. Yes No Council of the City of Gold Coast (Council) reserves the right to modify or refuse an application. COLLECTION NOTICE Council of the City of Gold Coast (Council) is collecting your personal information in order to provide the services requested, perform associated Council functions and services, and to update and maintain Council's customer information records. Your information is handled in accordance with the Information Privacy Act (Qld) 2009 and may only be accessed by Councillors, Council employees and authorised contractors. Unless authorised or required by law, we will not provide your personal information to any other person or agency. For further information go to http://www.goldcoast.qld.gov.au/privacy-81.html. Council may also use your personal information in order to contact you to provide you with information regarding Council functions and services. If you do not wish to receive such information please opt out using the unsubscribe link in the communication material sent to you.
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