Contest Entry Form Image Body Content Please note: The fields marked * are mandatory.First NameLast NameAgeAddressPhone NumberEmail AddressCommunication Opt-InYesNoThe information collected will only be used to communicate with you regarding your inquiry, and to communicate with you about other City programs and events.Attachment 1Only jpg, jpeg, bmp, png, tif, tiff, pdf file types are allowed. *Please type the letters appearing in the image above. Why do I need to do this? Submit Reset Cancel PrintPrivacy Statement Personal information is being collected under the authority of the Municipal Act. The information will only be used to communicate with you regarding your inquiry. Questions about this collection may be directed to Service Brampton by calling 311 (within Brampton city limits) or 905.874.2000 (outside city limits). Please review the City’s Privacy statement for more information.