Modena International Camp 2024 Registration

Athlete's personal data

Personal data

Name *

Surname *

Date of birth *

Place of birth *

Country of birth *

Province

Contacts

Residential address *

Apartment, suite, unit, etc. (optional)

Postal Code *

City of residence *

Country of residence *

Province of residence

Mobile number

Email address

Does the athlete have food allergies? *SìNo

Food intolerances or allergies

Does the athlete suffer from any disease? *SìNo

Pathologies

Is the athlete subject to ongoing therapies? *SìNo

Therapies

Sports information

Sport played

Membership club?

Sports medical certificate

Uploading the certificate is not mandatory during the registration. The certificate can also be sent by email at a later time.

Sport kit size *SMLXL

Height (in cm) *

Camp selection

Camp selection *

Modena International Camp

07/06/2024 - 07/13/2024 (Esaurito)

Parent's personal data

Personal data

First name *

Last name *

Date of birth *

Place of birth *

Country of birth *

Province

Parent's ID (front and back)

Uploading the ID Card is not mandatory during the registration. The ID Card can also be sent by email at a later time.

Contacts

Residential address *

Apartment, suite, unit, etc.

Postal Code *

City of residence *

Country / Region *

Province of residence *

Phone number *

Email address *

Summary and checkout

Summary

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Payments

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