* campi obbligatori

PARENT 1
(Data related to a parent or legal tutor who will be headed to the receipt)

name *

surname *

birth place *

province *

date of birth *

address *

city *

province *

fiscal code *

telephone *

email *

PARENT 2
(not obligatory data)

name

surname

birth place

province

date of birth

address

city

province

fiscal code

telephone

email

CHILD (1)

gender *
 male female

name*

surname *

birth place *

province *

date of birth *

address *

city *

province *

affiliation society *

fiscal code *

Rounds of attendance *

CHILD (2)

gender *
 male female

name *

surname *

birth place *

province *

date of birth *

address *

city *

province *

affiliation society *

fiscal code *

Rounds of attendance *

1° round (June 16 to June 22)
2° round (June 23 to June 29)
3° round (June 30 to July 6)


Additional Informations
(Eg.Information about the child on his state of health or nutritional needs)



Authorization for personal data processing

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