Dreams Gymnastics Academy - *NEW*Personal information protection act (PIPA under 18)

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PERSONAL INFORMATION PROTECTION ACT (PIPA) (under 18)

Respondent

You will receive a confirmation by email.

First name *

Last name *

Email *

Mobile

Child (participant)

First name *

Last name *

Gender *

Date of birth *

Terms

Your personal information such as Name, Date of Birth, Gender, Address, Phone, and Email will be protected and managed in accordance with the PIPA and made available only to the staff of the Gymnastics Club and Alberta Gymnastics Federation (pertaining to any information related to Alberta Gymnastics Federation Membership, this includes but not limited to emails for special events, live broadcasting, video, results, website, noticeboards, advertising, photos, social media platforms, funding, and Team Alberta requirements). Non- identifying information will be provided to Gymnastics Canada and the Alberta Sport Connection.

Personal Information/Photo/Video Release

1. To send information (Pertaining to Alberta Gymnastics Federation Membership and the Gymnastics Club programs. *

This includes but not limited to emails, newsletters, special events, general information, fundraising, donation request, invoices, honorariums, Team Alberta, etc).

YES, I give consent to section 1 (send information). NO, I refuse consent to section 1 (send information). x Clear

3. To take pictures or video of me/my child during my/their participation in any program, and that these may be used for training purposes. *

YES, I give consent to section 3 (take pictures for training). NO, I refuse consent to section 3 (take pictures for training). x Clear

2. To take pictures or video of me/my child during my/their participation in any program, *

and that these may be used for advertising, newsletters, noticeboards, website, live broadcast, special events, Team Alberta, and any social media platforms. (Gymnastics Club and Alberta Gymnastics Federation).

YES, I give consent to section 2 (take pictures for advertising). NO, I refuse consent to section 2 (take pictures for advertising). x Clear

*Note should you chose you can withdraw your consent in written notice at any time to Dreams Gymnastics Academy.

If you need any additional information about our personal information protection act, you can contact Alberta Gymnastics Federation office at (403) 259.5500 or via email at info@abgym.ab.ca.

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Membership

Your membership is tied to your email address. If you are using the wrong email, your membership will not be detected. You can try disconnecting and connecting using another email address.

If you need further assistance, please write to info@activitymessenger.com. Please include a screen capture if possible.

9527 - 49 Street NW, Edmonton, AB, T6B 2L8, CA 780-440-0014

www.dreamsgymnasticsacademy.com info.dreamsgymnasticsacademy@gmail.com