KITE'N'DI

INSURANCE 2023

kite'n'di acsi

INSURANCE 2023

By filling out the following form, request admission as a visitor/member for the 2023 season at the Kite'n'di asd.
To take advantage of all our activities (courses, campuses, excursions, rentals, events, purchase of merchandising) you must be one of our members and therefore enjoy basic sports insurance coverage, as Kite'n'di asd is a non-profit amateur sports association affiliated to ACSI (association of Italian sports centres) recognized by CONI.
The cost of the membership/insurance card is 15 Euros and has a duration of 1 year (from the day the membership is stipulated).

FORM

    The undersigned:
    Name
    Last Name
    Birth in – (Province)
    Date of Birth
    Tax ID code

     

    Country / Region
    Street address
    Town / City
    Postcode / ZIP

    Phone
    e-mail
    Instagram

     

    ASK

    He asks this esteemed Board of Directors to be admitted as a registered visitor of the Association, for the discipline of (choose one or more disciplines):


    The undersigned undertakes to comply with any internal regulations. It also acknowledges the fact that the company provides for all athletes who carry out sporting activities for each sporting season to register (which includes accident cover) with CONI federations and sports promotion bodies, therefore, it undertakes as of now to withdraw the card to the secretariat and to the request for any specifications and clarifications.

     

    AGRRES

    to photography and/or filming during the course of activities and/or events organized by the Association and therefore to processing and publication, for institutional purposes only, on the Association’s website/social network and/or paper media.

     

    SI ACCONSENTE

    Having received the information on the use of my personal data pursuant to article 13 of Legislative Decree n.196/2003, EU Regulation 2016/679, I consent to their treatment to the extent necessary for the pursuit of the statutory purposes. I also allow the data regarding the registration to be communicated to the entities with which the association collaborates and processed by them to the extent necessary for the fulfillment of obligations established by law and by the statutory provisions.

     

    FIRMA

    (in caso di minore firma dell’esercente la patria potestà)

     

    Luogo Nurachi (OR)
    Data odierna:

     

    INFORMATIVA AI SENSI DELL’ART. 13 D. LGS. 196/2003 – REGOLAMENTO UE 2016/679

     

    [wpgdprc “Utilizzando questo modulo accetti la memorizzazione e la gestione dei tuoi dati da questo sito web.”]

    MODALITA' DI PAGAMENTO

    PAYPAL:

    QUOTA TESSERAMENTO

    BONIFICO BANCARIO:

    ASSOCIAZIONE SPORTIVA DILETTANTISTICA KITE N DI ASD IBAN: IT95H0760117400001037748504

    CONTANTI:

    IN LOCO

    NEWSLETTER
    Ricevi notizie su tutte le nostre attività e promozioni
    MEMBER OF