Why Join?
As there are many youth events, as well as projects under way provided by the Shire it is important that you have a say at what you would like to be done. Projects such as skate parks are developed after youth views are obtained. This is a way of capturing your thoughts about your community and putting them into action. So have your say!
1. Would you like to join the Community Pulse Program?
Yes No

2. What is your title?
Dr Mr Mrs
Ms Miss

3. What is your first name?

4. What is your last name?

5. What is your phone number?

6. Would you prefer to be contacted by email or mail?
Email Mail
Please provide your email address or mailing address


7. Are you at least 18 years of age?
Yes No