FOR USE WHEN COLLECTING PERSONAL DATA IN/FROM EUROPEAN UNION
Required by European Union General Data Protection Regulation 2016/679 (“EUGDPR”)
To Be Signed by Individual Providing Personal Data
Genevieve Ryan Dance Academy is the controller of your personal data. You may contact Genevieve
Ryan Dance Academy at First Floor, The Plaza Offices, Headford Road, Galway H91 KC6V or by phone
and email at: 087 firstname.lastname@example.org
Your personal data will be used for the following purposes:
The categories of personal data you are being asked to consent to Genevieve Ryan Dance Academy’s
collection and use are your name, address, email address and telephone number.
Your personal data will be stored in accordance with the record retention requirements applicable to
Genevieve Ryan Dance Academy as a private organisation of Ireland. Under the EUGDPR, you have the
right to request access to, rectify, erase and restrict the processing of your personal data. You also have
the right to revoke this consent to use your personal data. If you feel Genevieve Ryan Dance Academy
has violated the EUGDPR, you have the right to file a complaint with the appropriate EU supervisory
authority. These rights are more specifically described in the Privacy Notices posted on Genevieve Ryan
Dance Academy’s website at wwwgenevieveryandance.com.
I consent to Genevieve Ryan Dance Academy using my personal data for the purposes described in this
notice and understand that I can withdraw my consent at any time.
I ACKNOWLEDGE THAT THIS IS A PHYSICAL ACTIVITY AND I SHOULD GET MY DOCTORS
PERMISSION IF MY CHILD OR I SUFFER FROM ANY HEALTH PROBLEMS. I AGREE THAT THE
INSTRUCTORS ARE NOT RESPONSIBLE FOR ANY INJURIES OBTAINED DURING CLASS HOURS.
INSTRUCTORS TAKE NO RESPONSIBILITY FOR LOSS OR DAMAGE TO PERSONAL BELONGINGS.
PLEASE INFORM TEACHERS OF ANY ILLNESSES OR INJURIES.
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