Application for Personal Trainers and Commercial Recreation Permit Privacy Statement The Town is collecting your personal information for the purpose of responding to your request. Some of the information may be provided to the Town's contractors for the purpose of addressing your request. Your information will not be provided to any other person or agency unless you have given us permission, or where legally obligated to do so. If you would like to know more about how the Town handles your personal information, please see the Town's Privacy Statement and Collection Notice. Name of Applicant*This field is required. * Required Field. Name of Business*This field is required. * Required Field. ABN (OR ACN)*This field is required. * Required Field. Email Address*This field is required. * Required Field. Proposed Activity*This field is required. Personal TrainingStand Up Paddle BoardingKayakingYogaGroup FitnessKite SurfingOther Reserve you wish to use*This field is required. J Dolan ParkEJ Chapman ReserveGeorge Booth ParkGlasson ParkGourley ParkHenry Jeffery OvalWH Kitson ParkLee ParkLocke ParkMarjorie Green ParkRaceway ParkStratford Street ParkWauhop Park Days required for use*This field is required. MondayTuesdayWednesdayThursdayFridaySaturdaySunday Times*This field is required. * Required Field. Group Size*This field is required. * Required Field. Equipment*This field is required. * Required Field. Current Senior First Aid Certificate*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Public Liability Insurance Certificate*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Current Business Certificate*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Registration with Peak Body*This field is required. Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Working with Children*This field is required. YesNo Valid Working with Children Card Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx Children's Fitness Training Certificate Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx I declare that All information is true and correctI have read, understand and agree to abide by the Town of East Fremantle Terms and Conditions - Personal Training and Commercial Recreation Activities in Parks and Reserves Type the code from the image: Do not fill this textbox.