STATEMENT BY PARENTS
STATEMENT BY PARENT(S) / LEGAL GUARDIAN(S) OF MINORS
USING THE GLOBAL BOXING CLUB AT SELECTED LOCATIONS
I/We, the undersigned, declare that I/we agree that my/our minor child ……………………………………………………. may use the GLOBAL BOXING Club independently without adult supervision. I/We have read the Regulations of the GLOBAL BOXING Club Network available at www.globalboxing.com and I/We oblige myself/us and my/our minor child to abide by its provisions.
I/We are aware that the GLOBAL BOXING Club is a self-service club open to customers 24/7 and that the exercises performed on its premises may prove dangerous and I/We assume responsibility for any accidents and injuries resulting from my/our minor child’s failure to comply with the safety rules and the rules of use of the GLOBAL BOXING Club. I/we declare that my/our minor child is healthy and there are no contraindications to his/her exercising. Being aware of the possibility of injury while exercising at the GLOBAL BOXING Club, I/we acknowledge that we should purchase accident insurance on our own.
At the same time I/we, the undersigned, agree that our minor child may conclude a distance contract with GLOBAL BOXING for the use of the services of the GLOBAL BOXING Club.
I/We declare that I/We accept liability for any damages, in particular for in connection with non-performance or improper performance of the contract and that I/we will cover the ongoing obligations arising from the contract concluded by my/our minor child. In addition, we have read the information, including the scope of the personal data made available to you for processing by our son/daughter (name/surname/email/phone number/PESEL (Personal Identification Number)/residential address) and the basis for its processing, and to the extent of the data processed on the basis of our son’s/daughter’s consent, we confirm that this consent has been given.
First and last name of mother/legal guardian, PESEL (Personal Identification Number):…………………………………………
First and last name of father/legal guardian, PESEL (Personal Identification Number): ……………..………………………..…
Residential address with postcode: ………………………………………………………………………………………….………..…………………..
Contact phone: ………………………………………………………………………………………………….…………………………………………………..
Place and date of signing of the document: ……………………………………………………..…………………………………………………….
Signature(s): …………………………………………………………………………………………………….
…………………..…………………………………………………………………………………………………….
Dear Sir / Madam,
we would like to inform you that the administrator of your personal data provided to us in this form is Global Boxing sp. z o.o. with its registered office in Warsaw / Warszawa, ul. Ludwika Nabielaka 6/4, 00-743 Warszawa, entered in the Register of Entrepreneurs kept by Sąd Rejonowy dla m.st. Warszawy in Warszawa (the District Court for the Capital City of Warsaw in Warszawa), XIII Wydział Gospodarczy Krajowego Rejestru Sądowego (XIII Economic Division of the National Court Register) under KRS number: 0001094625, NIP (Tax Identification Number): 5214061786, REGON (Business Identification Number): 528100738, with the share capital of PLN 20,000.00 (hereinafter: “Global Boxing” or “Administrator“).
Your personal data will only be processed for the following purposes: to document your consent for your minor child to attend Global Boxing Club or to pursue any potential claims under a contract with us. Failure to give your consent will mean that your minor child will not be able to use the services of Global Boxing Club. You can find all information regarding our processing of your child’s personal data at www.globalboxing.com. You can also write to the following address contact@globalboxing.com. Below you will find information regarding our processing of your name, surname, PESEL number, address and contact number.
The supervisory authority with jurisdiction over personal data in Poland is the President of the Office for Personal Data Protection.
A Club member or other interested person has the right to lodge a complaint with a supervisory authority.
• by letter to: Urząd Ochrony Danych Osobowych, ul. Stawki 2, 00-183 Warszawa
• via the electronic mailbox available at: https://www.uodo.gov.pl/pl/p/kontakt
• via e-mail: Kancelaria@uodo.gov.pl
• by telephone: (22)531 03 00
The legal basis for the Administrator’s processing of personal data is the Administrator’s legal obligation (the requirement to obtain the parent’s consent in connection with the provision of services to the child) and the Administrator’s legitimate interest (in connection with the possible assertion of claims under the contract concluded between us and the child). – The Administrator may transfer personal data to Companies within the Administrator’s capital group [they perform certain functions on behalf of the Administrator, helping the Administrator to provide services or manage the IT systems used to operate the clubs. These entities process only the data that is necessary for the performance of their functions and in accordance with their contracts], entities outside the Administrator’s capital group with whom the Administrator has business contracts and who provide services to the Administrator, such as providers of credit card payment processing and legal services.
You have the right:
• To request from the Administrator access to the personal data concerning you or to obtain a copy of the data (with the proviso that this right must not adversely affect the rights and freedoms of others, including trade secrets or intellectual property) and the right to correct them when they are not in accordance with the actual state of affairs and, moreover, in the cases provided for by law, to erase or restrict the processing of the data,
• To object to the processing of data in certain situations. The objection will be considered by the Administrator.
Signature(s): …………………………………………………………………………………………………….
…………………..…………………………………………………………………………………………………….
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