PHOTO/VIDEO RELEASE FORM & PIPA - DGC MINOR (under 18)

 
MINOR - under the age of 18 

DYNAMYX PHOTO/VIDEO RELEASE FORM AND PIPA

(To be executed by Participants under 18 years old)


 

 

 


Signee Information

SECTION 2

____________________________________________________________________________________________________________________________________________________________________

PERSONAL INFORMATION PROTECTION ACT (PIPA)

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 Dynamyx 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

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

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.

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.