VIV Card Registration Form

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VIV Card Registration Form

All fields are required except where indicated
 
Note: street number and street name are needed for all addresses
Please upload a members list or complete the volunteer list below.
 
To add a volunteer please enter the name of the volunteer and click the 'add volunteer' button.
 
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Contact

Address

9 Coleville Crescent,
Spearwood 6163

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

Language Support

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.