GYM MEMBERSHIP

PERTH

REGISTRATION FORM

TO APPLY FOR MEMBERSHIP, PLEASE COMPLETE THIS REGISTRATION FORM. ALL PROSPECTIVE MEMBERS MUST COMPLETE THE MILL'S INDUCTION PROCESS, 'INITIATION'. THIS CONSISTS OF 6 X 1-HOUR TRAINING SESSIONS WITH ONE OF OUR TRAINERS. ONCE YOU HAVE COMPLETED THIS REGISTRATION FORM YOU WILL BE CONTACTED VIA EMAIL BY A MEMBER OF OUR STAFF TO BOOK YOUR INITIATION SESSIONS.

PRIVACY STATEMENT

THE MILL GYM PTY LTD ('THEMILL') IS SUBJECT TO THE PRIVACY ACT 1988 (CWLTH) (INCLUDING THE NATIONAL PRIVACY PRINCIPLES), WHICH REQUIRES THEMILL TO GIVE YOU CERTAIN DETAILS ABOUT HOW IT DEALS WITH YOUR PERSONAL INFORMATION. PERSONAL INFORMATION ABOUT YOU (INCLUDING, UNLESS YOU TELL US OTHERWISE, SENSITIVE INFORMATION): 1. WILL BE COLLECTED FROM YOU; 2. MAY BE DISCLOSED ON A CONFIDENTIAL BASIS TO THIRD PARTIES WHO MAY PROVIDE SERVICES TO YOU FOR THE PURPOSES OF: A) FITNESS TRAINING; B) THE TREATMENT OF INJURIES; C) REHABILITATION; D) ASSESSING YOUR SUITABILITY FOR PARTICIPATION IN ANY ACTIVITIES ORGANISED BY THEMILL; E) MAY BE RECORDED ON A CONFIDENTIAL BASIS FOR MANAGEMENT AND ADMINISTRATION TASKS SUCH AS MAINTAINING A CONTACT DATABASE. THE MILL GYM MAY ALSO DISCLOSE YOUR PERSONAL INFORMATION TO THIRD PARTIES IF REQUIRED TO DO SO BY LAW. YOU MAY REQUEST ACCESS TO YOUR INFORMATION THAT THEMILL HOLDS ABOUT YOU AT ANY TIME. HOWEVER, THE PRIVACY ACTS PERMITS THEMILL TO REFUSE TO PROVIDE YOU WITH ACCESS TO THAT INFORMATION IN SOME CIRCUMSTANCES. IF YOU CONSENT TO PROVIDING YOUR PERSONAL AND SENSITIVE INFORMATION THEMILL DISCLOSING THE INFORMATION TO THIRD PARTIES IN THE CIRCUMSTANCES DESCRIBED ABOVE, PLEASE INDICATE YOUR CONSENT BY SIGNING BELOW. I AGREE TO PROVIDE MY PERSONAL AND SENSITIVE INFORMATION TO THEMILL AND CONSENT TO THEMILL DISCLOSING THE INFORMATION TO THIRD PARTIES IN THE CIRCUMSTANCES DESCRIBED ABOVE.