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Cockburn Seniors Centre Renewal Membership form

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Cockburn Seniors Centre Current Members - Renewal Membership Form

Please note this form is for City of Cockburn residents only.

All fields are required except where indicated.
 
Note: You must be a City of Cockburn resident. Street number and street name are needed for all addresses.
E.g. partner, friend, son, daughter
Declaration:

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Address

Whadjuk Boodja
9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

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Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaadatj dayin boodja, kep wer malayin. Ngalak kaadatj koora koora wer yeyi ngalang birdiya.

City of Cockburn acknowledges the Nyungar people of Beeliar boodja. Long ago, now and in the future they care for country.
We acknowledge a continuing connection to land, waters and culture and pay our respects to the Elders, past, present and emerging.