Expression of Interest Online Form – Natimuk & District Gymnastic Club

Gymnast's Name *

First

Last

Class gymnast would like to join

Birth Date *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Gender *

Female
Male
Undisclosed

Phone *

Email *

Parent's/Guardian's Name *

First

Last

In accordance with the Privacy Amendment (Private Sector) Act (2000), the information contained within this form will be used primarily for matters specifically related to participating in gymnastics and/or if a secondary purpose is related to the primary purpose and one could reasonably expect such use or disclosure. To assist providing our services, the organisations to which we disclose information include:

Outsourced service providers who manage the services we provide to you, including Gymnastics Victoria, Gymnastics Australia, and Insurers.
Our professional advisors, including our accountants, auditors, lawyers and debt collection agencies.
Government and regulatory authorities and other organisations, as required or authorised by law.

N&DGC limits the use and disclosure of any personal information provided by N&DGC to such organisations for the specific purpose for which we supplied it.

By signing, I agree the information I have provided is correct as of the date signed.

Signed *

Clear Signature

Date *