partecipa
PARTECIPANT
Partecipant's name*
Partecipant's surname*
Date of birth*
Place of birth*
Health Insurance Card number:
Social security number of the partecipant
PARENT
Surname*
Name*
Social security number of the parent
Living in (Street, Square)*
CAP*
City*
Province*
Cellphone number 1*
Cellphone number 2
Email 1*
Email 2
PERIOD
First shift: 2/7 - 6/7Second shift: 9/7 - 13/7Third shift: 3/9 - 7/9
Coupon*
OTHER INFORMATION
Any allergies / intolerances or medical indications
Kit size*
Do you want to attend the pre-camp? (8.00 – 8.30)*
Do you want to attend the post-camp? (17.00 – 17.30)*
How did you get to know the initiative?*
Other
ATTACHMENTS
Any documents about allergies / intolerances or medical indications? (max 3 Mb)
Copy of the medical certificate (max 3 Mb)
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