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Welcome to Gonzaga Campus!

A place of learning, growth and innovation. Discover an international educational environment that values academic excellence, inclusion and personal development.

Global education, innovation and technology, community and values.

Explore our world and connect with us.

Course Registration Form

Name*

Surname*

Residence Address*

Tax ID code*

Place of birth*

Date of birth

Month

Day

Year

E-mail*

Telephone*

REQUESTS REGISTRATION AS AN ATHLETE AT THE POLISPORTIVA GONZAGA SSD a RL

Single choice*

For himself/herself

as the person exercising parental responsibility for the minor

Athlete's Personal Data

Name*

Surname*

Tax ID code*

Place of birth*

Date of birth*

Resident in:*

Sports Activity Requested*

Soccer

Basketball

Tennis

Volleyball

Artistic Gymnastics

Figure Skating

Ju-Jitsu

Kickboxing

Multi-sports

Select Coach

Gonzaga Student*

YES

NO

School Address

PAYMENT PLAN

Registration Fee*

€

Payment Plan

One Solution

In monthly installments

Single Payment Plan

One Solution

€

Monthly Payment Plan

First installment (in advance)/upon signature of this document

€

First Installment Payment

Second Installment / 15th of the third month

€

Second Installment Payment

Third Installment/The 15th of the fifth month

€

Third Installment Payment

Front Document

Back Document

Medical Certificate

Front Card

Retro Card

Signature Affixing

Signature in case of only one parent/Declaration

Internal Regulations/ Declaration

PR Authorizations*

Authorize

Does not authorize

declares to have read and accept the terms

Signature of the Mother*

Sign in the box or use the keyboard to type.

Signature field is empty.

Signature of the Father*

Sign in the box or use the keyboard to type.

Signature field is empty.

Athlete Signature*

Sign in the box or use the keyboard to type.

Signature field is empty.

LCS Palermo

Date*

CF 97119550826

E-mail:

segreteria@gonzagapolisportiva.it

comunicazione@gonzagapalermo.it

Web: http://www.gonzagacampus.it

Sports club

Accessibility Statement

Social

Contacts

Piersanti Mattarella Street 38-42

90141 Palermo, PA Italy

Phone: 0916252036

Mobile: 3911797056

CF 97119550826

E-mail:

segreteria@gonzagapolisportiva.it

comunicazione@gonzagapalermo.it

Web: http://www.gonzagacampus.it

CF 97119550826

E-mail:

segreteria@gonzagapolisportiva.it

comunicazione@gonzagapalermo.it

Web: http://www.gonzagacampus.it

Gonzaga Campus
News
Gonzaga School
Gonzaga ISP
Gonzaga Sports Club
Servizio Civile Universale

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