HARBOUR CONNECT - Registration of Interest for Engagement Activities

Thank you for your interest in the Harbour Connect community and stakeholder engagement project.

Please fill in the below form to formally register your interest in attending one or multiple of the future engagement activities. Please note that places at focus group sessions and workshops are limited and registration of interest does not necessarily guarantee attendance (pending numbers received).

Question Title

* 1. I would like to register my interest for the following engagement activity(s)

Focus Group Sessions

Design Workshops

Question Title

* 2. My interest in the project is as a:
Please select the box(s) most relevant to you.

Commercial/charter/recreational boat user of Fishing Boat Harbour

Business owner or employee working in Fishing Boat Harbour

Business owner or employee working in the City of Fremantle

Representative of a local community organisation

Resident of City of Fremantle

Interested Perth community member

Student in the City of Fremantle

Other (please specify)

Question Title

* 3. My age bracket is:

Below 18

18-30

31-55

56+

Prefer not to disclose

Question Title

* 4. My contact details are as follows:
Please note that contact details are required to receive communication about the engagement events/activities. Your contact details will not be utilised for any other purpose.

Name

Phone Number

Email Address

HARBOUR CONNECT - Registration of Interest for Engagement Activities

Question Title

* 1. I would like to register my interest for the following engagement activity(s)

Question Title

* 2. My interest in the project is as a: Please select the box(s) most relevant to you.

Question Title

* 3. My age bracket is:

Question Title

* 4. My contact details are as follows:Please note that contact details are required to receive communication about the engagement events/activities. Your contact details will not be utilised for any other purpose.

* 2. My interest in the project is as a:
Please select the box(s) most relevant to you.

* 4. My contact details are as follows:
Please note that contact details are required to receive communication about the engagement events/activities. Your contact details will not be utilised for any other purpose.