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

PERSONAL INFORMATION PROTECTION ACT (PIPA) (over 18)

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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

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

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

*Note should you choose 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 the Alberta Gymnastics Federation office at (403) 259.5500 or via email at info@abgym.ab.ca.

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