RYA / FIV

Richiesta di tesseramento
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date of birth
sex *

F M
Place of Birth *
Mobile *
Tel. Home
Fax
Email *
Medical examination *

A B
Medical certificate *

Browse Files

Cancel of
Address *

Street Address

civic number

Town / City Country

Postal / Zip Code
Rya Personal Membership Number
IF ANY
Certificate Number
IF ANY
Tax Number (Codice fiscale) *
Sea - going experience and qualifications *
Courses *
Select one or more courses using ctrl / cmd
School

RYA FIV
Requested information *
*

I declare that I am aware of the information on the use of personal data pursuant to EU Regulation 2016/679 and its subsequent amendments and I authorize the CIRCOLO NAUTICO TECNOMAR to use the data collected with this application in the context of the activity carried out. I authorize the processing of data using manual and IT tools with logics related to social purposes.
office use
Should be Empty:

Richiesta di tesseramento