Reserve sus semanas

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)

By completing the registration I declare to accept the General Terms and Conditions for the provision of the service requested and having read the Privacy Policy, I declare to be of age and I declare to have read the Rules of the Multilanguage Summer Camp.

By completing the registration I declare to accept the conditions of the release for the publication of their images.