REGISTRATION NUMBER (it will be given the same day):

CATEGORIES: OPEN male OPEN female

PERSONAL DETAILS:

NAME: SURNAME:

CLUB'S NAME:

AGE: BIRTHDATE:

PC/CITY: E-MAIL ADRESS:

The personal information you provide to us will be stored in a file called Actvitats esports created by the Town Hall of Blanes in order to record and track people registered in other sports activities organized by the municipal Council. All data uploaded to the Central Database can be transferred to third parties. Therefore, we understand that by completing and then signing this form, you also give your consents to perform the above-mentioned data handling and ensure and affirm that the information contained in the registration is true.We understand that by completing this form you give us your consent to carry this processing. Anytime you can exercise your rigths of acces, rectify, oppose or cancel to your personal data by contacting the Town Hall (passeig de Dintre, 29) or the Ciutat Esportiva (Mas Cuní, 43).

as a mother/father or legal guardian

Mr/Mrs. with identity card number

I authorize whom I represent here to register to this sporting activity organized by the City Council of Blanes

Signature