• SCOUTS VICTORIA

    PROSPECTIVE YOUTH MEMBER DETAILS
    SCOUTS VICTORIA
  • Prospective Youth Member

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  • Accompanying Parent/Guardian


  • Contact number during the visit(s):

  • Health Statement

  • Medical Authority

  • In the event of an accident or illness I authorise any Officer, Servant or Agent of The Scout Association of Australia, Victorian Branch (Scouts Victoria) to obtain on my behalf and at my expense such urgent medical assistance, treatment and nursing, hospital and ambulance service as may be considered as appropriate by the Officer, Servant or Agent of Scouts Victoria and (should it be advised by a duly qualified Medical Practitioner that it is necessary) to authorise a general anaesthetic.  This clause also includes any dental treatment urgently required.  I further agree to pay on demand by Scouts Victoria all such medical, hospital and other fees and expenses incur red or to be incurred in such circumstances other than such fees and expenses recoverable under the policy of insurance taken out by Scouts Victoria.  I acknowledge that I have read the above provisions prior to signing.

  • Privacy

  • I have read and agree to the terms of the Privacy Policy (summary below) available at www.scoutsvictoria.com.au/privacy-policy/

  • Membership

  • I understand that this form does not constitute membership of Scouts Victoria and an application for membership will require completion of an online application, sent via email by the Group Leader, and payment of the relevant fees.

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  • Privacy Policy - Summary

    The full Privacy Policy is available on the Scouts Victoria website www.scoutsvictoria.com.au/privacy-policy/
  • Scouts Victoria is committed to protecting and maintaining the privacy, accuracy and security of all personal information and will apply the Australian Privacy Principles as they apply from time to time.

    • Personal information shall only be collected where the information is reasonably necessary for afunction or activity of Scouts Victoria
    • Scouts Victoria will take all reasonable steps to ensure that the personal information it collects isaccurate, up to date and complete
    • It is Scouts Victoria policy that Scouts Victoria members and employees are required to respect theconfidentiality of members, parents, employees, and supporters’ personal information and the privacyof individuals. Scouts Victoria will endeavour to protect the personal information it holds from misuse,interference and loss, unauthorized access, modification or disclosure
    • Scouts Victoria will not sell personal information, including mailing address databases, to others
    • Scouts Victoria will not store personal information on servers which are situated outside Australia
    • Youth members will generally be able to access and update their information through their parents/guardian, but youth members 16 years of age or above may seek access and correction themselves.Parents/guardian will generally be able to access personal information held by Scouts Victoria about ayouth member for whom they are the parent/guardian
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