Public Swimming Pool or Spa Notification Form

Information being provided

If 'other' selected, please explain.

Proprietor Details

Full Name*

Trading Name of Business*

Proprieter Name (if applicable)

ABN*

Date of commencement of trading*

Business Address

Street Number and Street Name*

Suburb/Town*

Postcode*

Business Phone Number*

Mobile Phone Number

Email Address*

Postal Address

Is the postal address the same as the business address above?*

Yes

Premise Details

What kind of facility is located on the premise?*

Outdoor pool

Indoor pool

Spa

Number of outdoor pools*

Number of indoor pools*

Number of outdoor spas*

Number of indoor spas*

Amount

I acknowledge that Council will not be responsible for incorrectly entered information on the payment page.*

Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB).

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