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*
1.
Would you like a specific response to your feedback?
(Required.)
Yes by email preferred (please ensure you provide your email address in the next section)
Yes by phone preferred (please ensure you provide your phone number in the next section)
Not required
2.
Your email address
3.
Your phone number
4.
Your name
*
5.
I am a
(Required.)
Full Access member (previously Complete member)
Aquatic Access member
PARC Swim member
PARC employee
New casual visitor to PARC
Regular casual visitor to PARC
New casual visitor to Pines
Regular casual visitor to Pines
Other (please specify)
6.
Which facility would you like to provide feedback on?
Peninsula Aquatic Recreation Centre (PARC)
Pines Forest Aquatic Centre
