Registration

Who you are applying for

Are you applying for yourself or for a minor of whom you are the legal guardian?

For myself

Personal application

For a minor

I am parent / guardian

Your details

Details of the person signing the application (even if the member is a minor).

First name *

Required field

Last name *

Required field

Born in *

Required field

Province

Date of birth *

Required field

Address (street and number) *

Required field

City *

Required field

ZIP code *

Invalid ZIP code

Tax code *

Invalid Tax Code (16 characters)

Mobile *

Required field

Email *

Invalid email

Minor's details

Details of the minor being enrolled as a member.

Minor: first name *

Minor: last name *

Born in

Province

Date of birth

Address

City

ZIP code

Minor's tax code

Declarations

All boxes below are mandatory to complete the application.

I declare to have read and accepted the Statute and Regulations of the Association in full. I declare to be in possession of valid physical and mental fitness and to have submitted (or to submit before the first session) a valid medical certificate. I commit to paying the annual membership fee and any additional contributions required for the selected activities. I consent to the processing of personal data in accordance with EU Regulation 2016/679 (GDPR art. 13) for the Association's institutional purposes, according to the information notice attached to the PDF form. I authorize the use of photographs and/or videos of myself/the minor on the Association's website, printed materials, social media channels and bulletin boards. (optional) I consent to the processing of data for promotional communications on sport by the Italian National Olympic Committee (CONI). (optional) I declare to have read on the Association's official website the Organizational, Management and Control Model, the Code of Conduct, the reporting forms and the contact details of the Safeguarding Officer (Loredana Santimaria — Questo indirizzo email è protetto dagli spambots. È necessario abilitare JavaScript per vederlo.). I declare to be aware of the provincial navigation regulations, to commit to wearing an approved buoyancy aid (EN393 ISO 12405-5, 50N) and to have valid third-party (RCA) insurance.

Signature

Sign with your finger (touch) or mouse in the box below.

Not signed yet

Place *

Date *