APPLICATION Name(Required) Surname(Required) Title(Required) MD PhD PT Other (please specify on the right) Title specification Institution(Required) PhotoMax. file size: 20 MB.Curriculum VitaeMax. file size: 20 MB.Consent(Required) I agree to my data treatment, according to the "REQUEST FOR MEMBERSHIP AND INFORMATION ON THE PROCESSING OF PERSONAL DATA".SPECIFICALLY, I DECLARE that I have read and clearly understood the above information on the processing of personal data, under Articles 13 and 14 of the GDPR and the Privacy Code; that I have been informed about the content of Articles 15-22 of the GDPR; and therefore, I GIVE INFORMED CONSENT - To the processing of personal data for the purposes set out in the above information for the processing of data: - Give consent for the purposes referred to in Article. 2, letters a) to c) - Give consent to manage events and send newsletters under Article. 2 letters. d) to be a member of the A.C. EXTREMESPORTMED for the year 2019 - Give consent free of charge (also according to Articles 10 and 320 of the Italian Civil Code and Articles 96 and 97 of Law 22.4.1941, no. 633 - Law on the right) for the data processing and dissemination, in the manner indicated in this information notice, of my and photos and videos depicting my image. The whole document is available at: https://extremesportmed.org/5506-2/.