Hindmarsh Outdoor Pools Registration Form

Hindmarsh Outdoor Pools Registration

2024/2025
PRIVACY STATEMENT
We will handle any personal information you have provided in this form in accordance with the Privacy and Data Protection Act 2014. Our privacy policy contains information about how you may access your personal information and seek correction of such information; as well as how to complain about a breach of the Australian Privacy Principles and how we will deal with such a complaint. For more information, please see our Privacy Policy or contact our team on (03) 5391 4444. Your personal information will not be disclosed to any other party unless Council is required to do so by law, has gained your consent to do so or an information privacy principle exemption applies.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

City / TownState

Post Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Please add details of family members below*

	Family Members	Date of Birth	Medical Conditions Y/N (include details - see below)
1
2
3
4
5
6
7
8
9
10

If a family member has a medical condition (e.g. diabetes, asthma, allergies, angina, etc), please let us know in the table above.

Please provide a plan if applicable.
Emergency Contact Person*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.

CONDITIONS OF ENTRY

Conditions of Entry:

1. We will not tolerate:

a) Offensive, aggressive, or sexually inappropriate language or behaviour

b) Misuse or intentional damage of our facilities

c) Smoking, Vaping, Alcohol Consumption or Drugs Use

2. Please take note of signs, our Code of Conduct and follow staff directions.

3. Watch around Water - Please supervise children closely according to our Watch Around Water Policy.

a) Children under 10 years old: must be accompanied into the centre by a responsible parent or guardian and must be constantly and actively supervised. The parent or guardian must be positioned to have a clear view of the child with no physical or structural barriers between them and the child/children.

b) Children under five years old: must be accompanied into the centre by a responsible parent or guardian and must be constantly and actively supervised during recreational play within arm’s reach.

c) Children over 10 years old: parents must use their knowledge of the child’s swimming ability and general development to determine the level of accompaniment required.

d) Children under the age of ten years will not be admitted without an appropriate parent/guardian.

e) We may remove your child from the water if we consider that you are not complying with these requirements or the child is at risk in the water.

I have read and agree/ or have had explained by Hindmarsh Pool Lifeguards and agree to the terms and conditions of entry:
Signature*

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Hindmarsh Outdoor Pools Registration

CONDITIONS OF ENTRY