Registration Camp Mogliano Veneto

 

 

Select 1  or 2 children and fill out the required fields to enroll or enroll them at the Camp .

 


METHOD OF PAYMENT:


Bank transfer

Bank transfer (SEPA) to: MACSY SRL, via Bilancioni 14 C/D – Rimini – 47923 – Italia

BANCA CARIM – Piazza Ferrari 15 – Rimini – 47921 – Italia
IBAN: IT59 F062 8524 201C C001 8104 416

SWIFT: CRRNIT2R
Reason: balance enrollment ________________ (Name Surname participant)
FCB Camp ________ (place) _______ (date)

 

1 Child

Fields marked with * are mandatory

Available dates*

18.06.17 – 23.06.17


First child informations

Fill all the fields

Name*
Surname*
Date of Birth*
Gender* MaleFemale

football club mermbership

Name society*
Have you ever taken part in a FCB Escola Camp?* YesNo
I attended FCB Escola Camp



Rule

GoalkeeperFootball player

Shoe size*
Size*


Mandatory questionnaire for parents/guardians to complete the enrollment in the FCB Escola Camp Italia

Special dietary needs*

Allergies*

Medical condition or health problems*

Prescribed medication*

Maximum allowed dose*

Please click here to accept the mandatory questionnaire for the parents/guardians of participant in the FCB Escola Camp Italia

I, as parent or guardian of the participant, give my consent to give the prescribed medication during the camp, in the dosage indicated above. The parent or guardian must deliver the medications to the organizational staff in a sealed plastic bag with enough instructions regarding the dosage, time of administration and any other relevant information. The FCB Escola Camp Italia staff will not be responsible for administering any drug that requires training or special skills, such as injections for diabetes or allergies. The secretariat of FCB Escola Camp Italia must be informed of any special medical needs to determine whether the football player can be accepted into the program. Children with contagious medical conditions will not be allowed to participate in the FCB Escola Camp Italia.

I accept the mandatory questionnaire for parents/guardians*


Informations about the parent/guardian

Fill all the fields.

Name*
Surname*
Date of birth*
Place of birth*
Fiscal Code*
Country*
Address*
Zip Code*
City*
Province
Phone*
Phone nr 2
Email n.1*
Email confirm. n.1*
Email n.2
Email confirm. nr 2

How did you hear about FCB Escola Camp Italia*


Read carefully the AGREEMENT FOR PARTICIPATION* and CLAUSES.*

I read: I accept the participation agreement and authorize the use of personal data

Formulas vexatious*

It confirms the reading and acceptance of formulas vexatious. Clauses.

Privacy*

It confirms the reading and acceptance of Privacy Policy.. Privacy Policy.



CHOOSE THE METHOD 'OF PAYMENT:

Credit CardBank Transfer

BBank transfer to: MACSY SRL
IBAN: IT59 F062 8524 201C C001 8104 416
Reason: balance enrollment ________________ (Name Surname Participant)
FCB Camp ________ (place) _______ (date)


2 Children

Fields marked with * are mandatory

Available dates*

18.06.17 – 23.06.17


First child informations

Fill al the fiels

Name*
Surname*
Date of Birth*
Gender* MaleFemale

Football club mermbership

Name society*
Have you ever taken part in a FCB Escola Camp?* YesNo
I attended FCB Escola Camp



Rule

GoalkeeperFootball player

Shoe size*
Size*


MANDATORY QUESTIONNAIRE FOR PARENTS/GUARDIANS TO COMPLETE THE ENROLLMENT IN THE FCB ESCOLA CAMP ITALIA

Special dietary needs*

Allergies*

Medical condition or health problems*

Prescribed medication*

Maximum allowed dose*


Second child informations

Fill all the fields

Name*
Surname*
Date of Birth*
Gender* MaleFemale

Football club membership

Name society*
Have you ever taken part in a FCB Escola Camp?* YesNo
I attended FCB Escola Camp



Rule

GoalkeeperFootball player

Shoe size*
Size*


MANDATORY QUESTIONNAIRE FOR PARENTS/GUARDIANS TO COMPLETE THE ENROLLMENT IN THE FCB ESCOLA CAMP ITALIA

Special dietary needs*

Allegies*

Medical condition or health problems*

Prescribed medication*

Maximum allowed dose*

Please click here to accept the mandatory questionnaire for the parents/guardians of participant in the FCB Escola Camp Italia

I, as parent or guardian of the participant, give my consent to give the prescribed medication during the camp, in the dosage indicated above. The parent or guardian must deliver the medications to the organizational staff in a sealed plastic bag with enough instructions regarding the dosage, time of administration and any other relevant information. The FCB Escola Camp Italia staff will not be responsible for administering any drug that requires training or special skills, such as injections for diabetes or allergies. The secretariat of FCB Escola Camp Italia must be informed of any special medical needs to determine whether the football player can be accepted into the program. Children with contagious medical conditions will not be allowed to participate in the FCB Escola Camp Italia.

I accept the mandatory questionnaire for parents/guardians*


INFORMATIONS ABOUT THE PARENT/GUARDIAN

Fill all the fields.

Name*
Surname*
Date of birth*
Place of birth*
Fiscal Code*
Country*
Address*
Zip Code*
City*
Province
Phone*
Phone nr 2
Email nr 1*
Email confirm. n.1*
Email nr 2
Email confirm. n.2

HOW DID YOU HEAR ABOUT FCB ESCOLA CAMP ITALIA*


Read carefully the AGREEMENT FOR PARTICIPATION* and CLAUSES.*

I read: I accept the participation agreement and authorize the use of personal data

Formulas vexatious*

It confirms the reading and acceptance of formulas vexatious. Clauses.

Privacy*

It confirms the reading and acceptance of Privacy Policy.. Privacy Policy.



CHOOSE THE METHOD 'OF PAYMENT:

Credit CardBank Transfer

Bank transfer to: MACSY SRL
IBAN: IT59 F062 8524 201C C001 8104 416
Reason: balance enrollment ________________ (Name Surname Participant)
FCB Camp ________ (place) _______ (date)


FCB ESCOLA SOCCER CAMP 2017