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    GELSS Membership Agreement Form

    Responsible person details
    Student 1 Details
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    Date cannot be more than 7 days in advance of date of form submission.

    Press the down arrow key to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates.

    Student 2 Details
    Information
    Date cannot be more than 7 days in advance of date of form submission.

    Press the down arrow key to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates.

    Student 3 Details
    Information
    Date cannot be more than 7 days in advance of date of form submission.

    Press the down arrow key to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates.

    Student 4 Details
    Information
    Date cannot be more than 7 days in advance of date of form submission.

    Press the down arrow key to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates.

    Student 5 Details
    Information
    Date cannot be more than 7 days in advance of date of form submission.

    Press the down arrow key to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates.

    Student 6 Details
    Information
    Date cannot be more than 7 days in advance of date of form submission.

    Press the down arrow key to interact with the calendar and select a date. Press the question mark key to get the keyboard shortcuts for changing dates.

    Terms and conditions
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    Privacy: The personal information requested is required primarily for the provision of the selected membership service and will only be shared with those directly responsible for providing that service. If you do not provide the information, we may not be able to deliver the service. If you would like to know more about privacy at Glen Eira City Council, including your right to seek access to any information collected on this form, please visit our Privacy page or contact Council’s privacy officer on 9524 3333.

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