This form MUST be completed by all leaders and participants in Rotary's Youth Programs.  For those under 18, this should be completed by the responsible Parent / Guardian on behalf of the applicant.  The email address provided here should match your original application form (either for Team Leader or as an attendee).  

CONFIDENTIALITY STATEMENT

The Rotary District 9640 Youth Committee is committed to maintaining all personal information provided by the Applicant and their families in accordance with the Australian Privacy Principles.  Information collected will be stored in a confidential manner and access granted only as outlined in the Applicant Declaration section.  Procedures will be implemented to ensure that this information is protected and secure and remains confidential.