Вы находитесь на странице: 1из 2

Republika ng Pilipinas

Republic of the Philippines


Kagawaran ng Edukasyon
Department of Education
Rehiyon ng Caraga
CARAGA Administrative Region
Dibisyon ng Surigao del Sur
Surigao del Sur Division

COACH DATA PRIVACY NOTICE AND CONSENT FORM

The Caraga Regional Athletic Association (CaragaRAA) engages in the


collection of personal information such as the full name, address, age, medical and
dental records, photograph, learner reference number, schoo, ID, school records,
parental information and contact information of the athletes.

These data shall be utilized for accounting, auditing, screening, qualifying,


performance monitoring and other legitimate purposes for the conduct of
PALARONG PAMBANSA and the publication of results of games.

All information collected shall be processed, utilized, retained and disposed by


authorized personnel in accordance with the relevant policies of the department on
usage, retention and disposal of its record.

For concerns regarding data collection access, disclosure, correction and


other issues, inquiries may be made to the CaragaRAA Compliance Team to the
Data Privacy Act of 2012 through the RSAC and Regional Sports Officer.

In consideration of the foregoing, I hereby authorize the Caraga Regional


Athletic Association to collect, use and process the above-specified personal
information for screening, qualification, participation in athletic activities, athletic
practices and training, and publication of results in athletic activities and
competitions.

By affixing my signature in this form, I hereby attest that I agree with the
aforementioned conditions.

Date: ___________________________________

__________________________________________________
Signature above printed name of Coach/Asst. Coach/Chaperon

(This should be attached in the front cover of the Coach Record)


Republika ng Pilipinas
Republic of the Philippines
Kagawaran ng Edukasyon
Department of Education
Rehiyon ng Caraga
CARAGA Administrative Region
Dibisyon ng Surigao del Sur
Surigao del Sur Division

ATHLETE DATA PRIVACY NOTICE AND CONSENT FORM

The Caraga Regional Athletic Association (CaragaRAA) engages in the


collection of personal information such as the full name, address, age, medical and
dental records, photograph, learner reference number, schoo, ID, school records,
parental information and contact information of the athletes.

These data shall be utilized for accounting, auditing, screening, qualifying,


performance monitoring and other legitimate purposes for the conduct of
PALARONG PAMBANSA and the publication of results of games.

All information collected shall be processed, utilized, retained and disposed by


authorized personnel in accordance with the relevant policies of the department on
usage, retention and disposal of its record.

For concerns regarding data collection access, disclosure, correction and


other issues, inquiries may be made to the CaragaRAA Compliance Team to the
Data Privacy Act of 2012 through the RSAC and Regional Sports Officer.

In consideration of the foregoing, I hereby authorize the Caraga Regional


Athletic Association to collect, use and process the above-specified personal
information for screening, qualification, participation in athletic activities, athletic
practices and training, and publication of results in athletic activities and
competitions.

By affixing my signature in this form, I hereby attest that I agree with the
aforementioned conditions.

Date: ___________________________________

________________________________
Signature above printed name of Athlete

With the assistance of:

________________________________________
Signature above printed name of Parent/Guardian

(This should be attached in the front cover of the Athlete Record)