TANJULE RG CLUB - Membership Application - PAGE 2
I hereby apply for membership of Tanjule
Rhythmic Gymnastics Club (TRGC) and agree to be bound by its Articles of
Incorporation and Rules and accept the following “Terms and Conditions and
Parent/Guardian Consent and Declaration”.
TRGC Terms and Conditions and Parent/Guardian
Consent and Declaration
1. I understand that participation in gymnastics
activities carries with it a reasonable assumption of risk!
I confirm that
the information set out in the Medical History section of this form on behalf
of the Gymnast is true and correct to the best of my knowledge.
I know of no
reason or fact affecting the Gymnast’s health, which is relevant to doing
gymnastics and heavy exercise.
In case of
emergency, I hereby give consent to certified TRGC personnel to administer
emergency First Aid to the Gymnast and/or to obtain any medical/ambulance
assistance as required. I agree to pay any costs incurred.
I understand that for insurance purposes registration fees must be paid
before the Gymnast is permitted to participate.
6. Membership and Term fees are to
be paid by end of Week 3 of each term. Term
fees are calculated on hours nominated and are regardless of attendance. Where notice is given in writing of prolonged illness
and a ‘Doctor’s Certificate’ is provided, the Gymnast’s fees may be credited to
the next term. Absences for other
reasons will not result in a credit to the next term, however gymnasts may have the ability to make up
sessions during the current term, providing they have organised it with the
I give permission
for my child to be photographed / videoed while participating in any club
activities. I consent for these photos /
videos to be used for publicity if required.
I consent for the
above mentioned photos/videos to be used for Internet publishing on the TRGC
I understand a
formal registration record is kept by TRGC and it is available upon request.
I understand that
if I choose not to provide personal information, TRGC may not be able to
provide me with the services the Gymnast requires.
Parent/Guardian of (The Gymnast), have read and understand this
Membership Application and TRGC rules and agree to its terms, conditions,
consents and declarations as required and stated herein. I confirm that the
information provided on this form is complete and correct to the best of my
knowledge and I undertake to advise the Club promptly of any changes that may
I agree that TRGC and its Management
Committee, coaches, volunteers, officers, leaders, staff and agents shall be
released from, and shall not incur any responsibility or liability whatsoever
for any accident or injury to the Gymnast or for any damage to or loss of
property of the Gymnast.
In that regard I agree to indemnify TRGC
against any such liability.
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 in providing our services, the organisations to which we
disclose information include:
service providers who manage the services we provide to you, including GSA,
Gymnastics Australia, Insurers
advisers, including our accountants, auditors and lawyers
regulatory authorities and other organisations, as required or authorised by
We limit the use and disclosure of any personal information provided by
us to such organisations for the specific purpose for which we