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Registration is quick and easy and will make it easier for you to participate in road safety projects that interest you. We ask for your name, email address and modes of transport, so we know who we are hearing from in our community. You can also choose for us to keep you informed of updates and progress. Your personal details are only used by the Road Safety Commission to interpret the feedback we receive. For transparency, feedback may be published as part of reporting, however, we respect your privacy and all identifying information is removed to keep your feedback anonymous.

You can read our privacy policy to find out more about how we use your personal information.

By registering to Community Connect Road Safety, you will have an opportunity to participate in consultations across this site.

All fields marked with an asterisk (*) are required.

Login or username. This is the name that you'll use to comment publicly on the site, so make it anonymous *Required

Email *Required

First name

Maximum characters 255

Password *Required

Passwords must be 8 to 16 characters and contain a combination of numbers and letters, with at least one lower case letter and one upper case letter.

Password confirmation *Required

Primary mode of transport * required

Bicycle - pedal onlyBicycle - electric Car - as driverCar - as passengerHeavy vehicleeRideable device - electric scootereRideable device - electric skateboardeRideable device - otherMotorcyclePedestrian - on footPedestrian - wheelchairPedestrian - mobility scooterPedestrian - push skateboardPedestrian - push scooterPublic transportTaxi/rideshare

Please select only one

What is your secondary mode of transport? * required

Bicycle - pedal only Bicycle - electricCar - as driverCar - as passengerHeavy vehicle eRideable device - electric scootereRideable device - electric skateboardeRideable device - other Motorcycle Pedestrian - on foot Pedestrian - wheelchair Pedestrian - mobility scooterPedestrian - push skateboardPedestrian - push scooter Public transport Taxi/rideshare

Options are limited to

Please select all that apply

Suburb or town of residence (not Local Government Area) *Required

Start typing your suburb

More about you

The following section helps us better understand our community of road users and the feedback they provide. This information is kept confidential and will not be used to identify individuals. It will help us ensure we are contacting you about consultations you might be interested in.

What is your year of birth?

Date

Which of the following most accurately describes you?

Female MaleNon-binaryI would prefer not to say

Are you, or is anyone else in your household

A person with a disability or impairment An Aboriginal or Torres Strait Islander person A person with non-English speaking backgroundI would prefer not to sayNone of the above

Options are limited to

What is your mobile number?

Sharing your number is not mandatory but will allow us to contact you via SMS for future engagement opportunities.

I agree to the Terms of Use and Privacy Policy for using Engagement HQ *Required

Acknowledgement of Country

The Government of Western Australia acknowledges the traditional custodians throughout Western Australia and their continuing connection to the land, waters and community.
We pay our respects to all members of the Aboriginal communities and their cultures; and to Elders both past and present.

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