Acceptance of class enrolment is subject to availability and will only be secured if full payment of all fees accompanies this application form.
I understand that when I enroll for a class at Eastern Suburbs Gymnastic Club that I am responsible for payment of fees and that Eastern Suburbs Gymnastic Club has the right to refuse admission to a class if there are outstanding fees.
Health and Safety:
We aim to provide a safe environment for all our gymnasts. By agreeing to these Terms and Conditions I acknowledge:
1) that it is my responsibility to supervise my child/children at all times in the carpark.
2) that no gymnast is to leave the building unless under the supervision of an adult or care giver. All gymnasts must wait inside the building to be picked up after class.
3) that no gymnast is to enter the gym or use any gym equipment unless under the supervision of a coach.
Photography and Facebook:
Consent to the publication of photos of gymnasts on our Facebook page, or for other media purposes, is deemed to be given unless you state otherwise in your enrolment.
Declaration:Parent/guardian/caregiver consent for gymnasts under 18 yrs:
I am the parent/caregiver of the gymnast who is under 18 years of age. I consent to the gymnast’s application for membership on the basis set out in this form.
I have read and consent, or am authorised to consent, to the Membership Declaration (below).
I consent, or am authorised to consent, to all the contact details specified in this form being held by the Club and GymSports NZ for the purposes of contacting any of the person(s) named in an emergency involving the gymnast.
I consent to the name(s) and contact details as set out above, being collected, held, and used as the gymnast’s parent/ caregiver in accordance with the purposes set out in paragraph 7 of the Membership Declaration (over page) as if I were a member of GymSports NZ.
1 Accuracy: The details set out in this Membership Form are true and correct. If they change I acknowledge that I am required to notify my Club of the changes in writing as soon as possible after they occur. If the details provided are not true or are misleading I acknowledge my membership may be terminated at the discretion of my Club and GymSports NZ.
2 Bound by Rules: I will be bound by the constitutions, regulations, policies, manuals, guidelines and reasonable directions of my Club, and GymSports NZ.
3 Accept Risk of Gymsports: I have voluntarily accepted and assumed the inherent risk of danger and injury in Gymsports.
4 No liability: I will not hold my Club or GymSports NZ or their respective officers responsible or any claims, losses and expenses and costs (including legal costs) which may arise from or in connection with my membership and/or participation in any activity authorised or recognised by my Club or GymSports NZ except in the case of gross negligence or a wilful act or omission on the part of my Club or GymSports NZ.
5 Indemnity: I indemnify my Club and GymSports NZ from all claims, losses and expenses (including legal costs) suffered or incurred at any time as a result of, or resulting directly or indirectly from, my failure to observe the constitutions, regulations, policies, manuals, guidelines and reasonable directions of my Club and GymSports NZ respectively.
5 Medical Declaration: I am medically and physically fit and do not suffer from any injury, disease or condition, either physical or mental, that would affect my ability to safely participate in any authorised or recognised activities of my Club or GymSports NZ. If I am unsure about this declaration, or suffer from such a condition I have either listed it on this form or I am aware that I must bring it to the attention of my Club and GymSports NZ.
7. Privacy: I agree that my Club and GymSports NZ can collect, hold, use and disclose my personal information as provided on this Form (and any updated or additional personal information the Club or GymSports NZ obtains from me including any photo or other record of my image) for the purposes of:
a. Processing my application for membership or confirming my membership including notifying the Club and GymSports NZ of the information on this form for the purposes of the Club and GymSports NZ compiling a register of members, compiling a national database of members and participants (accessible only in accordance with the Constitution and Regulations of GymSports NZ), and for requesting me to renew if my membership lapses;
b. Putting my name and contact information on my Club’s membership list for use by other members of my Club;
c. Publishing any of my Gymsports results in my Club and/or GymSports NZ’s newsletters and on their websites;
d. Selecting and publicly naming competitors and teams to represent my Club and GymSports NZ at Gymsports events;
e. Providing me with information and activities relating to my Club and GymSports NZ and other Gymsports matters;
f. Enabling sponsors and funders of my Club and GymSports NZ to contact me with information about their products and services;
g. Enabling my Club and GymSports NZ to comply with any statute, regulation, by-law or other regulatory instrument that requires collection or disclosure of personal information;
h. Retaining the information provided on this form if my membership lapses (as an inactive member) for a maximum period of three years for the above purposes; and
i. Any other purpose I agree to in writing.
8. Use, Security and Access: I understand that my personal information will only be used for the purposes listed in paragraph 7 and in accordance with the GymSports NZ Regulations, and that:
a. My personal information will be held securely;
b. I will have access to my personal information under the Privacy Act;
c. My personal information will be corrected upon request.
9 Continued Membership: I understand that upon payment of my membership fee(s), if I am accepted to membership, I will become a member of my Club and GymSports NZ and that by paying such fee(s) by the due date(s), I will continue to be a member of my Club and GymSports NZ, for the duration of my Membership as specified in the GymSports NZ Constitution, unless I resign or my membership is terminated.
10 Interpretation: Every reference to “I” and “my” in this document includes the gymnast and the parent/guardian/caregiver of the gymnast (if applicable).