Iscrizione Skirolonga – EN

Skirolonga 30 KMSkirolonga 16,800 KMSkirolonga 4,200 KMSkirolonga 1,500 KM

NAME SURNAME

MF

BORN ON NAZIONALITY

ADDRESS N° CITY ZIP CODE PROV.

EMAIL TELEPHONE

EMERGENCY CONTACT

The indication of the Ski Club is not binding.
SKI CLUB SKI CLUB CODE

As parent of minor:

NAME SURNAME

FM

BORN ON PLACE OF BIRTH

PROV.

RESIDENT AT VIA N° PROV.

After reading and sharing the course program, requests the participation of the undersigned/minor in the Skirolonga organized by Focolaccia Sci Fondo Lucca.

Copy Transfer for registration

Copy of valid Medical Certificate (until 14/10/2024)

I grant the Organizing Company free permission to use the photographic and video material concerning the undersigned/minor for educational, promotional and/or advertising purposes, and for all uses permitted by law, subject to respect for the dignity and decorum of the person concerned.

I acceptI do not accept

Contextually, having acknowledged having received the information referred to in art. 13 of Legislative Decree no. 196/2003, I give my consent to the processing of my personal data and that of my child fomiti for the registration to the Skirolonga. In particular, the undersigned consents to the handling of data concerning the state of health contained in the medical certificate filed with the association and that they be communicated, if requested, to the Promotion and Affiliation Body (Libertas) , and processed by the latter in compliance with the obligations provided for by law and the statutes and regulations.

I acceptI do not accept