Horse Riding Application

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1. Great Ocean Road Coast And Park Authority Horse Riding Application(Not Applicable)

Great Ocean Road Coast And Park Authority Horse Riding Application

* indicates a required field.

Contact Details (Not Applicable)

Applicant *

Title	First name	Last name

Phone Number *

Must be an Australian phone number.

Email address *

Must be an email address.

Your Address *

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Address line 1

Address line 2

Suburb/Town	State/Province	Postcode

Country

Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required.

Horse Riding Details (Not Applicable)

Type of use (ie. Recreational) *

Please note maximum time is 2 hours

Number of horses *

Frequency of use? (ie. Once Weekly, Once Monthly)

Location

Moggs Creek to Painkalac Creek, Fairhaven

Whites Beach to Point Impossible, Torquay

Aireys Inlet Recreation Reserve

Clear

Authorisation (Not Applicable)

I am authorised to lodge this application. I understand the information requested on this form is being collected by the Great Ocean Road Coast And Parks Authority for the purpose of assessing my event and may be shared with LGA's where events are held, or other relevant agencies.

Privacy statement: The Great Ocean Road Coast and Parks Authority is committed to protecting all personal and sensitive information consistent with the principles set out in the Privacy and Data Protection Act 2014, and the Health Privacy Principles as set out in the Health Records Act, 2001. if you have any questions about the handling of your information, please email: info@GreatOceanRoadAuthority.vic.gov.au

Authorised Person (full name) *