What is your full name, email address, community/surbub and phone number?
Maximum 5,000 characters
0/5,000
Which membership type best describes you?
Please tell us a bit about yourself and your connection to the Katherine community.
Maximum 20,000 characters
0/20,000
Please tell us about the skills, knowledge, experiences or perspectives you would contribute as a member of the Community Safety Action Group.
Are you able to attend regular meetings and participate actively in the work of the Group?