I the undersigned participant or guardian of participant listed below, do hereby acknowledge that I am aware of all activities normally required in and associated with participation in the Gelico Gymnastics Club. I do hereby consent to the participant fully participating and know of no condition that may affect the ability of the participant from safely participating. I waive and release and forever discharge any and all rights and claims for damage, which may have, or may hereafter accrue to me against the Gelico Gymnastics Club, the organizers, or their respective officers, agents, and representatives. I acknowledge that the Gelico Gymnastics Club reserves the right to require a Medical Certificate from any participant. I have read and am agreement with the Gelico Gymnastics Club policies as put forth in the policy & information package found on our website at www.gelicogymnastics.com.

I understand that Gelico Gymnastics has adopted the Privacy Policy of Gymnastics Saskatchewan and that the Privacy Policy can be found at www.gymsask.com as part of the Operations Policy Manual. I consent to give Gelico Gymnastics permission to gather personal information for the following purposes:

a) Name, address, phone number, and date of birth for the purpose of registering the club members with Gymnastics Saskatchewan and Gymnastics Canada .

b) Name, address, photos, competition results, phone number, cell phone number, fax number and e-mail address for the purpose of communicating about programs, events and activities.

c) Date of birth to determine eligibility, age group and appropriate level of competition.

d) Child Abuse Registry Checks and related personal reference information of coaches for the purpose of implementing Gymnastics Saskatchewan’s screening program.

e) Personal health information including provincial health card numbers, allergies, emergency contact and past medical history for use in the case of medical emergency.

f) Name, address, phone number, cell phone number, fax number and e-mail address for the purpose of providing information to Gymnastics Saskatchewan and Gymnastics Canada for insurance coverage, managing insurance claims and conducting insurance investigations.

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