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modulo_en - Maneggio ''la Cinta'' San Teodoro
Maneggio la Cinta San Teodoro
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Application Form
Cookies, Privacy & Statue
Application form for ADULTS
Maneggio la Cinta ASD-C.F. 93061400912-Via Gramsci snc, San Teodoro 07052 (SS)
Dear Executive board Maneggio la Cinta ASD
Data of Adult
Name
*
Surname
*
born in
*
Date of Birth
*
who lives in
*
street and nr°
*
Zip Code
*
Province
*
Country Code
*
Phone
*
Weight (kg)
*
Height (cm)
*
email address
*
REQUEST
to this esteemed Executive board to be accepted as associate of the Amateur Sport Association ''Maneggio la Cinta A.S.D''
Name
*
Surname
*
Date and Time for the excursion
Date
*
Time (hh:mm)
*
-
7 AM
9.30 AM
6 PM
Conditions
*
declares that he wishes to read the
statute of the association
(paper copy also available at the headquarters in via Gramsci), and that he has read the
information on cookies and privacy
; and undertakes to comply with the statutory provision and rules.
Accetto
Signature
*
I sign and accept the statute and give my consent to the processing of my data, as specified on the page regarding cookies and privacy.
Accetto
San Teodoro, date
*
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