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Emergency Contact Form

Please supply details of your emergency contact. Please resubmit at any time if your emergency contact changes.

All information will be treated in strictest confidence

Your name *
Your email *
Your Emergency Contact Name *
Your Emergency Contact Phone *

Upcoming Events

Walking Group June 28, 2024 at 10:00 am – 12:00 pm Pipers by the Lake, 403 Wendouree Parade, Lake Wendouree VIC 3350, Australia
Knitting for Charity July 1, 2024 at 1:00 pm – 3:00 pm At the home of Chris R
Men’s Morning Coffee July 2, 2024 at 10:00 am – 12:00 pm Ballarat Yacht Club, Wendouree Parade, Lake Wendouree VIC 3350, Australia