ROYAL PARK TOUCH ASSOCIATION          
  TEAM / PLAYER REGISTRATION FORM          
       
  SUMMER 2007/08            
  TEAM NAME:       TEAM COLOUR:    
  TEAM CONTACT:       TEAM REFEREE    
  DIVISION (circle): Mixed                B            C             D DEPOSIT PAID    
  DAY/NIGHT: Wednesday   PAYMENT METHOD    
             
  FIRST NAME SURNAME M/F ADDRESS SUBURB CODE D.O.B. PHONE EMAIL
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PRIVACY STATEMENT      
     
Australian Touch Association (”ATA”) is committed to the protection of your personal information. Any personal information you provide to ATA will be used for
the following purposes and related purposes which can be reasonably expected:    
Membership administration and playing statistics; and communicating commercial information    
     
Please tick the box on the right if you do not wish for your personal information to be used in respect of that purpose.    
     
ATA will not disclose any personally identifiable information obtained from you to other parties or for purposes other than those stated above,
unless you provide your written consent to us, with the following exceptions:    
Where there are grounds to believe that disclosure is required in order to prevent a threat to health or life; where ATA suspects that unlawful activity
is or has been engaged in, such personal information maybe used to investigate the suspected unlawful activity; or the use is authorised
by law or reasonably necessary to enforce the law.      
Information that you provide through various means will be kept safe and secure within ATA. At anytime, you may also notify us if you do not wish to receive
marketing materials or other communications from ATA. Please put this request in writing and send to the address below.  
     
Should your contact details or address change, please inform us.      
If you have any queries or concerns about your personal information which ATA maintains, please send the details of your query or concern in writing to ATA.
Thank you for taking the time to read this important statement. (P.O. Box 9078, Deakin, A.C.T. 2600)  
     
In signing this form I agree to comply with the rules, regulations and by-laws of the Australian Touch Association Incorporated, my State/Territory Association
and my Affiliate and agree to be covered by the Sports Personal Accident Insurance Policy as arranged by the Australian Touch Association through
SportsCover Australia P/L T/A Sportscover.      
     
Policy details are available from your affiliate bodies.      
_________________________________________________ Date:     /      /      
Parent / Guardian Signature      
If you are under the age of 18 years, your parent or guardian must sign and date this form.    
     
_________________________________________________ Date:     /      /      
Participant Signature     Â