The Data Practices Act requires that we inform you of your rights about the private data we are requesting on this form. Private data is available to you, but not to the public. This information can be shared with Meghan’s Place, Inc. staff to better accommodate members. You can withhold this data, as participation in our programs is voluntary. Completing this form indicates you understand these rights and frees Meghan’s Place, Inc. from any liability in case of accident.