Applicable to: Adult Lessons - Surrey Seals 4 - Burnaby Regional Group 3 Lessons Divisional Group 4 Lessons Seals 5 - Burnaby Provincial Group 5 Lessons Seals 6 - Burnaby Seals 7 - Burnaby National Group 6 Lessons Seals 1 - Surrey Seals 2 - Surrey Seals 3 - Surrey Seals 4 - Surrey Seals 5 - Surrey Seals 6 - Surrey Seals 7 - Surrey

A Parent or Legal Guardian must sign for those swimmers under the age of 18.

The Federal Personal Information Protection & Electronic Documents Act (and equivalent provincial legislation)

requires that consent be obtained prior to the collection and use of all personal information.

The personal information you provide to the Club from this registration will be used for the purposes reasonably

associated with the swimming activities conducted by the Club. These purposes include national, provincial and

event registration, insurance coverage, training and competition participation and competition result publication.

Some of the information you provide will be passed on to Swimming/Natation Canada (“SNC”) and Swim BC, for

purposes including association registration, insurance coverage and:

a) ensuring swimmers train and compete in an age appropriate environment;

b) establishing athlete eligibility for selection to swim teams;

c) establishing pertinent medical records

d) reporting non-identifying, demographic and participation statistics to funders, sponsors and other authorized

3rd parties;

e) publishing athletes’ names, genders, ages, club affiliations on our web page or in results, news releases and

ranking reports; and

f) making direct contact with swimmers as necessary for the operation of the Club, Swim BC and SNC.

Additional personal information may be collected from time to time. Consent for the use of this personal information

may be inferred where its uses are obvious and it has been voluntarily provided.

Complete texts of the Privacy/Personal Information Policies (variously the “Policy” or “Policies”) may be found at: for

SNC at: and for Swim BC at:

Should a swimmer wish to review their personal information held by the Club, Swim BC or SNC they must make a

request to the appropriate organization pursuant to that organization’s Policy. Further, swimmers may withdraw

consent to use their personal information pursuant to the Policies. Such a withdrawal however, may require the

cancellation of your membership with and suspension of your activities with the Club, Swim BC and SNC.

All swimmers or their legal guardian must sign a copy of this form.

I hereby consent to the collection and use of personal information as described above.