| Personal data: |
Captain of the team |
| Name - Surname |
|
| street - number |
|
| Postal Code |
|
| Nationality |
|
| Birthday (dd.mm.yyyy) |
|
| Telephone |
|
| Email |
|
| Tax number (inland) |
|
| or number identity card (abroad) |
|
| Competition level |
Hobby
Sports club
Prof
|
| Name of sports club or company |
|
| Sporting successes or peculiarities |
|
| My discipline in the team is |
Mountainbike
Running
Skitour
|
| |
|
| Personal data: |
2nd athlete of the team |
| Name - Surname |
|
| street - number |
|
| Postal Code |
|
| Nationality |
|
| Birthday (dd.mm.yyyy) |
|
| Telephone |
|
| Email |
|
| Tax number (inland) |
|
| or number identity card (abroad) |
|
| Competition level |
Hobby
Sports club
Prof
|
| Sporting successes or peculiarities |
|
| My discipline in the team is |
Mountainbike
Running
Skitour
|
| |
|
| Personal data: |
3rd athlete of the team |
| Name - Surname |
|
| street - number |
|
| Postal Code |
|
| Nationality |
|
| Birthday (dd.mm.yyyy) |
|
| Telephone |
|
| Email |
|
| Tax number (inland) |
|
| or number identity card (abroad) |
|
| Competition level |
Hobby
Sports club
Prof
|
| Sporting successes or peculiarities |
|
| My discipline in the team is |
Mountainbike
Running
Skitour
|
|
| General notes about the team |
|
| |
|
| |
Please confirm participation conditions |
|
Yes, we are conscious, that herewith each athlete has fixed his discipline |
|
Yes, we agree to the conventions in all points (read conventions) |
|
Yes, we agree that our personal data can be used electronically
according to data protection act (Lg. del 31.12.1996, n°675, art.13) |
|
Yes, we confirm to be in good condition of health
and to take all the risks on our own responsibility |
|
Yes, we compleatly agree with point 2, section E of the conventions and declare herewith,
that in the case of accident or damage we will take the full responsability and
not the event manager |
|
|