modulo_en_minori

choose the type of module ( adult or minor related)

Application form for MINORS
Maneggio la Cinta ASD-C.F. 93061400912-Via Gramsci snc, San Teodoro 07052 (SS)

Dear Executive board Maneggio la Cinta ASD

Data of the parent/tutor

Name of parent / tutor

Surname of parent / tutor

born in

Date of Birth

who lives in

street and nr°

Zip

Province

Country Code

Phone

email address

In the capacity of parent/tutor of: the undersigned (minor)

Name of minor

Surname of minor

Weight (kg)

Height (cm)

born in

Date of Birth

who lives in

street and nr°

Zip Code

Province

ASKS
to this esteemed Board of Directors to be admitted as an Associate of the Amateur Sports Association '' Maneggio la Cinta A.S.D.
Compliance with statutory provisions on

SUBSCRIBED / ADULT OR PARENT

NAME OF ADULT OR PARENT

SURNAME OF ADULT OR PARENT

Date and Time for the excursion

Date

Time (hh:mm)

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