ATHLETES' FORM–Kiklos Sand Volleyball2017- Bellaria Igea Marina - ITALY

By signing this, I declare that:

-I have read that form and I accept the rules of the game and want to release and hold harmless the organizers, sponsors and partners from all civil and criminal liability for loss or theft of personal property and for injuries and/or damage of any kind that may occur during or be caused by the same signatories during the sporting event;

-I grant to the organizers full permission to use photos, video services and other communication tools for any form of advertising or promotion without claiming any refund of any nature, without asking for any form of compensation;

-I consent to the processing of personal data for sending messages and/or advertising material from the organizers and their partners and/or sponsors. The data provided in all cases will be treated in compliance with Italian Law D.Lgs 196/2003on the protection of the personal privacy;

-The participants claim to have read and accept the contents of the Statute of S.S.D. Kiklos srl viewed and downloaded at the website By paying the membership fee athletes participating in effect become ordinary members - supporters, in the case of minors – of the same sports club for the current year.

Team'sname / Town

FOR THE TEAM LEADER: PLEASE BRING THIS FORM WITH YOU AT THE CHECK-IN OF THE KIKLOS EVENT YOU WILL TAKE PART

*Signature is required from each athlete

Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*
Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*
Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*
Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*
Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*
Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*

EVENTUAL ACCOMPANYING PEOPLE

Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*
Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*
Name and Surname / Place and date of birth
E- mail address / Mobile phone / Phone n.
Address / Code / Town
T-shirt Size / Signature*

Please note: photocopy this sheet if more than six athletes or/and three accompanying people. Thanks.The Team leader declares that the information and signatures contained in this document are correct and true.

Signature of the Team leader