campus for chilfren, sport for disabled, introduction to the sport, travel abroad, training Associazione culturale COSMO

RIFUGIO DEL FALCO ASS.COSMO HOLIDAYS CHILDREN WELLNESS PATH INFORMATION REGISTRATION FORM PERSONAL STATEMENT

Registration form

(print and fill in capital letters)

Surname and name of the child:____________________________

Place of residence of the child:_________________________________

Surname and name of parent:__________________________________

Home phone number:          ___________________

Mather cell:    ___________________

Father cell:         ___________________

Autorizzo al trattamento dei miei dati personali in riferimento alla legge 196/03 sulla privacy

 Signature_______________

Any notes: ___________________________________________

                        ___________________________________________

TORNA SU

Abruzzo: Bed and Breakfast in Atri, turismo ecologico, prodotti tipici e biologici, natura, arte, cultura

RIFUGIO DEL FALCO Bed & Breakfast ... e Book

C.da Montagnola, 10 - 64032 Atri (TERAMO) - ABRUZZO - ITALIA - Tel.: 085 4491248 - 3381558115; Fax: 085 4491248 rifugiodelfalco@gmail.com ; Contatto Skipe: poiana7

ULTIMA MODIFICA 20/04/12