Registration Form Mozzafiato Sky Race

*First Name:  You have to insert a value.    *Last Name:  You have to insert a value.

*Date of birth (dd/mm/yyyy):  You have to insert a value.The value is wrong.

Sport Club: 

Have you a sport card?: 

Email: Wrong email format.    Telephone: 

* You have to check the box.
Asking for registration to the race, I declare to have ability medical certificate to sporting agonistic activities for the current season and not have any medical contrindication to altitude actiovities.
I the undersigned exempt the race organizational committee concerning any responsability on facts occurred along the whole race route of which I perfectly know the nature.

* You have to check the box.
I here-by authorize the "Gruppo Sportivo Podistica Cannobio" to collect and use my personal data as per law Dlgs N° 196 30/06/2003 and only concerning its activity purposes.
I expressively forbid their divulgation. It is agreed that whenever I want I can get them cancelled.

* You have to check the box.
After carefully looking at the regolations, being informed about the technical difficulties of this race route and being aware of the risks to my personal safety
I HERE-BY DECLARE
that I expressively exempt the organizational committee 'G.S. Podistica Cannobio' and its race Manager concerning any responsability for damages to things and persons including personal injuries and / or death I moreover declare to undertake total and absolute responsability about damages that I may cause to persons and / or their belongings during the contest.

* campi obbligatori