Full Name* Contact Phone Number* Email Address* I am registering for the following event/program:* Select an Option Summer Film Club - Jan 2025 Friday Film Club Adult Book Club Local History events Adult Writing Club Volunteering at the library I give permission to contact me about similar events/programs at Carnarvon Library & Art Gallery.* YesNo Do you have any dietary preferences we should be aware of? (eg Gluten Free, Lactose Free, Vegan, etc)* Do you have any medical conditions we should be aware of? (e.g. allergies, epilepsy, diabetes, limited mobility etc.)* Photo Consent - I give consent for images to be taken and for these images to be used, modified, and distributed by the Shire of Carnarvon.* YesNo Type the code from the image: Do not fill this textbox.
