Appendix: Notice of Collection
By signing below, you acknowledge that you have read, understood and agree to comply with the Skate Canada Privacy Code as provided and hereby request, and consent to, the registering of myself with Skate Canada.
By signing below and registering with a club or skating school and allowing yourself to be registered nationally with Skate Canada and submitting this form, you indicate your acceptance of all terms and conditions associated with the Skate Canada Privacy Code and expressly provide your consent to the collection, use and disclosure of your confidential information to register you with Skate Canada in any capacity including, without limitation, as a Skate Canada registrant, coach or in connection with your affiliation with a skating club or skating school and to administer various services, such as Skate Canada programs, services and events, contact you to provide you with relevant offers regarding events and competitions, all as set forth in the Privacy Code. In addition, through the submission of form, you expressly consent to the sharing or exchange of your confidential information with Skate Canada affiliates, which includes your local skating club or skating school or provincial association or section, and with service providers.
Individual
Printed Name (First and Last): ___________________________________________________ Signature: ___________________________________________________________________ Date (mm/dd/yyyy): ___________________________________________________________
If the individual is a minor (under the age of majority as defined in the relevant province or territory of Canada that the individual resides), the next section must be completed.
Skate Canada
Appendix to the Privacy Code Last Revised August 14, 2024
1
Parent / Guardian for an individual who is a minor
A parent or guardian’s signature must be obtained if the individual is a minor at the time of signing this acknowledgement. This parent or guardian’s signature can be in addition to or in place of the skater’s signature.
I am the parent/guardian of __________________________________________, who was born on __________________ and is therefore a minor at the time of signing this acknowledgment with Skate Canada.
By signing below and registering my minor child with a club or skating school and allowing your minor child to be registered nationally with Skate Canada and submitting this form, you indicate your acceptance of all terms and conditions associated with the Skate Canada Privacy Code and expressly provide your consent to the collection, use and disclosure of your minor child’s confidential information to register your minor child with Skate Canada in any capacity including, without limitation, as a Skate Canada registrant, coach or in connection with your affiliation with a skating club or skating school and to administer various services, such as Skate Canada programs, services and events, contact you to provide you with relevant offers regarding events and competitions, all as set forth in the Privacy Code. In addition, through the submission of form, you expressly consent to the sharing or exchange of your confidential information with Skate Canada affiliates, which includes your local skating club or skating school or provincial association or section, and with service providers.
Printed Name (First and Last): Signature of Parent / Guardian: Date (mm/dd/yyyy):
_____________________________________________
________________________________________________
________________________________________________
Skate Canada
Appendix to the Privacy Code Last Revised August 14, 2024
2