Online Form - Swimming Pool Future Options Reference Group Nomination Form

The nomination form asks you to indicate your address, age bracket, gender and other personal details. This information will be kept confidential and will only be used to assess diverse representation on the Group.

The Reference Group will hold at least three meetings during the planning stage of the project. The inaugural meeting is anticipated to occur during the final half of May 2024 and the Group will determine the subsequent meeting schedule.

Gender*



Age Group*







Areas of Interest*


Which sector of the community do you represent?*


Please select the times you are available to attend meetings*











I wish to submit my nomination for the Swimming Pool Future Options Reference Group. I agree to abide by the Terms of Reference for the Group. Upon becoming a member of the Group, I consent to the publication of my name and photograph in Shire publications and other communication material, including social and print media.*