WINTER CAMP - CESENA

Name

Surename

Date of birth (from 2009 to 2017)

Birth place

Select your sex

Identification number

Full address (street, city, province)

Select your role

Allergies and/or intolerances, medical notes

Medical certificate in progress at the time of the camp

Select files (click here)

Front of the health card

Select files (click here)

Back of the health card

Select files (click here)

Front of the identity document

Select files (click here)

Back of the identity document

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No-objection certificate from the sports club

Select files (click here)

Will you be attending the Summer Camp with siblings? If yes, please indicate how many of them.

Name

Surename

Identification number

Full address (street, city, province)

Phone

I read and accept the privacy policy and the general conditions

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