InterClub

SEASON MEMBERSHIP

Fill out the form with your personal information to become a Senior Member for current Season. All fields are required to proceed.
If you want to enroll one or more Junior Members (i.e. born AFTER 01/07/2011), the legal representative must fill the first part of the form and then add the references of the minors in the below dedicated section.

DO YOU ALREADY HAVE AN INTER CLUB MEMBERSHIP CARD?

Club

date of birth

name

surname

email's address

phone number

Country of birth

Province of birth

Birthplace

Fiscal Code

Sex

Residence Country

Residence Province

Address

Street number

Zipcode

The undersigned, in his/her capacity of Data subject or person exercising the parental authority/authority on the Data subject, declare that he/she has read the Privacy Policy and that in addition agrees:

Do you want to enroll one or more Junior Members (i.e. born after 01/07/2011) being you their legal representative?

yes

Please enter personal information of one or more Junior Members below.

name

surname

date of birth

Country of birth

Province of birth

name

surname

date of birth

Country of birth

Province of birth

name

surname

date of birth

Country of birth

Province of birth

Versione in italiano