Online application Full name Nationality Date and place of birth: Adress: Tel: E-mail CV Dance experience Classic dance: No experienceBasicMediumAdvanced Modern dance: No experienceBasicMediumAdvanced Jazz: No experienceBasicMediumAdvanced Hip-Jop: No experienceBasicMediumAdvanced Ballroom dancing: No experienceBasicMediumAdvanced Other : Expanded package The price includes: Dance workshops 11 night 11 breakfasts 10 dinners 11 suppers Price - 550 € Vegetarian meals: YESNO T-shirt size ---XSSMLXL INFORMATION CLAUSE According to Art. 13 of the Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation, hereinafter referred to as GDPR) we would like to inform that: 1. The Controller of your/the minor’s personal data is Zespół Pieśni i Tańca “Śląsk” im. Stanisława Hadyny (hereinafter referred to as Zespół Śląsk), on behalf of which acts the Director of Zespół Śląsk. The Controller is located under the following address: 42-286 Koszęcin, ul. Zamkowa 3, tel: +48 (34) 310 64 15. e-mail:email@example.com, www.zespolslask.pl 2. There is a person responsible for handling any issues related to personal data processing; e-mail: firstname.lastname@example.org, other contact details are as above. 3. Your/the minor’s data shall be processed for the purpose of organisation and promotion of cultural and educational events organised by Zespół Śląsk according to its Statute - based on Art. 6 Section 1 Letter a of GDPR. 4. Giving personal data is voluntary, yet any person refusing to give their personal data may be denied participation in any cultural or educational event organized by Zespół Śląsk and may find their issue or contract unable to be performed. 5. Your/the minor’s personal data shall only be received by entities entitled to obtain personal data according to legal regulations, and entities participating in performance of any issue or event. 6. Your/the minor’s personal data shall not be transferred to any third country. In case such data are transferred to a third country, you shall be given particular information in reference to such transfer. 7. Your/the minor’s personal data shall be stored - for a given period of time depending on the kind of issue such personal data relate to; - for the duration of a contract; - for the duration of data storage stipulated in legal regulations. 8. You/the minor are/is entitled to a number of rights, namely: - the right to access personal data and information related to their processing; - the right to rectification of such data; - the right to erasure or restriction of processing of such data; - the right to object to processing in case the basis for data processing is Art. 6 Section 1 Letter e of GDPR. In case personal data are processed under a consent you have the right to withdraw such consent at any moment, notwithstanding the conformity with the right to process to be exercised upon the consent being previously given. Such rights may, in special cases, be subjected to restrictions resulting from legal regulations. The above rights may be exercised by contacting the Data Controller. 9. Moreover, it is possible to lodge a complaint to the Chairperson of the Personal Data Protection Office should you observe any infringement of the GDPR regulations in relation to personal data processing. 10. Your/the minor’s personal data shall not be processed in automated way, including profiling. Declare that I read and understood the foregoing information and rights in reference to personal data processing CONSENT FOR IMAGE DISSEMINATION Should be informed that during any cultural or educational event, organised by Zespół Śląsk, there shall be some pictures and video footage being taken/recorded which shall subsequently be made public and processed, and such pictures or video footage may contain images of persons present as well as their personal data. By participating in events organised by Zespół Śląsk, both participants and observers give their consent for free-of-charge dissemination and processing of images, in pictures or video footage, recorded during such events, as well as any other personal data. Giving such consent means that Zespół Pieśni i Tańca “Śląsk“ im. Stanisława Hadyny is entitled to archive such pictures and video footage taken/recorded during such events, and subsequently to put them on the websites of Zespół Śląsk and its social media as well as to use them in promotional materials, press publications and music records. We would like to assure you that we shall put every effort in keeping your data safe. PURPOSE: Any image shall be processed according to applicable legal regulations for the purpose of promotion, documentation, archiving and dissemination of information pertaining to any activities conducted by Zespół Śląsk. Such images shall be made public on the website and in the social media, and shall also be made available to participants and organisers of such event as well as entities entitled by legal regulations, a consent having been previously given or according to a personal data processing agreement. RIGHTS OF DATA SUBJECTS Participation in events and resulting consent for accessing personal data, such as an image, is voluntary, yet it is necessary for enabling such participation. Such data shall be neither profiled nor transferred to any third countries or international organisations. Any person is entitled to withdraw their consent to process their personal data, held by Zespół Śląsk, as the Data Controller, in its databases, as well as to access, rectify or erase such data, to restrict processing of such data, to object to processing or transferring such data and to lodge a complaint to a supervisory authority. Please note that any withdrawal of such consent shall not be retroactive - processing of such data shall be legal until the moment of withdrawal of such consent by a relevant data subject. While submitting any changes in the scope of data processing you should indicate which pictures, video footage or content shall be affected by such changes. CONTACT DETAILS: Any information related to personal data may be obtained by writing an e-mail to the following address: email@example.com; other contact details: the Controller is located under the following address: 42-286 Koszęcin, ul. Zamkowa 3, tel: +48 (34) 310 64 15, e-mail: firstname.lastname@example.org, www.zespolslask.pl. LEGAL BASIS: On 25 May 2018 the Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (“GDPR”), came into effect. According to the definition of personal data in GDPR an image is considered personal data, and therefore it is required to be protected according to the provisions of that regulation. Moreover, based on Art. 81 Section 2 of the Copyright Act, a consent for image dissemination is not required in case of an image belonging to: - a person well known in public if such image was made in relation to their public function, particularly political, social or professional (e.g. a director, a manager); - a person constituting a single detail of a whole, such as a meeting, a landscape or a public event; - persons participating in a meeting - a group of no less than 15 persons, summoned for the purpose of a debate or expression of an agreed position; - persons participating in a mass event - no less than 1000 persons outdoors, and no less than 300 persons indoors. Declare that I consent that my image/the minor’s image shall be used by Zespół Pieśni i Tańca „Śląsk” im. Stanisława Hadyny.