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 The personal information requested on this form is required primarily in connection with the provision of Council’s Glen Eira Leisure services or administration as indicated in this form. The information will only be shared with those responsible for providing that service/administrative function or as required or permitted by law. This information may be accessed by contacting Council’s privacy officer on 9524 3333. Council’s privacy policy is available on its website at: http://www.gleneira.vic.gov.au/Privacy