By submitting this form, I hereby declare that I am participating as a volunteer in PEGUAM’s activities (“PEGUAM Activities”) of my own free will and volition, and:
Consent for Use of Information
I understand and agree that the personal information relating to me which has been provided or will be provided for the purposes of participating in PEGUAM Activities may be used for any one or more of the following purposes: (i) to process and facilitate registration and participation in PEGUAM Activities; (ii) to carry out appropriate advertising, promotional or marketing initiatives in connection with PEGUAM Activities; and (iii) I allow PEGUAM and its partners to take my photographs and/or videos and use them in any forms of media including but not limited to newsletters, websites, or other marketing and/or publicity materials in connection with PEGUAM Activities, including but not limited to social media, advertising, promotion, marketing and packaging for any product or service without any payment. I acknowledge that to withdraw the aforementioned consent, I should write to info@peguam.org. PEGUAM will respond within a reasonable period of time.
Non-Disclosure
I understand that personal or confidential information may be disclosed to me during my participation in PEGUAM Activities, through interactions with (among others) community and training partners, beneficiaries and other participants.
I undertake that I will treat all such information as confidential. I also undertake that I will not collect, use or retain such information for any purpose or disclose such information to any other person, without the prior consent of the owner(s) of such information.
I understand that PEGUAM reserves the right to terminate my participation in PEGUAM activities at any time for behaviour deemed detrimental to the programme, to be determined at the sole discretion of either the director or programme/event lead(s) of the relevant PEGUAM Activity, including my failure to treat such information as confidential.
Medical / Information Declaration
I declare and confirm that all the information that has been provided in relation to me for the purposes of participating in PEGUAM Activities, including any medical information and medical declaration, is complete, true and accurate to the best of my knowledge and there is no undisclosed relevant information. I also consent to the disclosure to and use of such information by partners of PEGUAM for the purpose of facilitating the safe conduct of PEGUAM Activities.
Before PEGUAM Activities commence, I will promptly inform PEGUAM of any change in any of the information that has been provided in relation to me. I will also ensure that I immediately inform PEGUAM and its training and community partners should there be any changes to such medical information during PEGUAM Activities.
In the event of my illness or injury during participation in PEGUAM Activities, I hereby give my consent to PEGUAM and its training and community partners to seek medical treatment and care for me as may be appropriate and necessary , and for this purpose, to disclose my medical and any other relevant information (including but not limited to information on any medical conditions/allergies) as previously declared or as may come to the notice of PEGUAM and its training and community partners, to any person as deemed necessary for this purpose.
Acknowledgement of Risks & Indemnity
I am aware that my participation in PEGUAM Activities is strictly voluntary, and I understand and accept the usual and attendant risks that I may face when I participate in PEGUAM Activities.
Accordingly, I agree that I will inform PEGUAM and its training and community partners in advance if I do not wish to participate in PEGUAM Activities.
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