ITALIAN DRAGSTER CUP 2014

ITALIAN DRAGSTER CUP 2014
MODULO D’ISCRIZIONE (REGISTRATION FORM)
COMPILARE IN STAMPATELLO LEGGIBILE
(FILL IN WITH READABLE LETTERS)
Nome (name) ___________________________________________________________________________________
Cognome (surname) _____________________________________________________________________________
Team __________________________________________________________________________________________
Cellulare (mobile phone number) ____________________________________________________________________
Inserisci il tuo numero di cellulare per ricevere le classifiche via sms a fine turno
(add your mobile phone number to receive a message with your ranking at the end of every turn)
CATEGORIE (CATEGORIES)
☐ __________ Club - non agonistica (Club - non competitive) CLUB
☐ __________ Scooter Carenati Sport 70cc
SCSP70
☐ __________ Scooter Carenati 70cc
SC70
☐ __________ Scooter Carenati 100cc
SC100
☐ __________ Scooter Carenati Special 70cc SCS70
☐ __________ Scooter Carenati Special 100cc
SCS100
☐ __________ Dragster 70cc
DRAG70
☐ __________ Dragster 100cc
DRAG100
☐ __________ Vespa C3
C3
☐ __________ Vespa C4
C4
☐ __________ Vespa C5
C5
☐ __________ Vespa C7
C7
☐ __________ Vespa C8
C8
☐ __________ Ciclomotori/Motocicli a Marce 100cc (Gear Motorcycle 100cc)
CM100
☐ __________ Outlaw
OUTLAW
NB: Ai sensi del regolamento ufficiale IDC, dalla 5° gara (Scooter Weekend) in poi, i nuovi iscritti non acquisteranno
più alcun punto ai fini della classifica generale assoluta e correranno quindi esclusivamente per il risultato di giornata.
ATTENTION: According to the official IDC regulations, from the 5th race (Scooter Weekend) and beyond, the new registered riders
will not receive any point for the absolut ranking, instead they will only race for the daily ranking.
Ho letto e accetto i termini del regolamento. Ho letto e accetto i termini della polizza assicurativa ACSI.
Acconsento al trattamento dei dati personali e autorizzo l’uso di foto, video, ecc. sul web e riviste.
I have read and agree to the terms of regulations. I have read and agree to the ACSI insurance policy.
I agree to the processing of personal data and authorize the use of photos, videos, etc. on the web and magazines.
Firma (signature) _____________________________________________