Subscription form

Subscription form

Welcome to the club

Colegio Valdepalitos

Student Data
Tutor
Sports data
Training days
Pickup Service
Economic Data
Acceptance conditions
Photo

Name

Surnames

Date of Birth

Gender

MASCULINO FEMENINO OTROS

D.N.I./RUT

Health card

Phone

E-mail

Country

Province

Town/Municipate

Address

Postal code

Name tutor/a 1

Tutor’s name 2

Telephone tutor 1

Telephone Tutor 2

Email Tutor 1

Email Tutor 2

Dni

Medical Data

Discipline

H M

Sí No

H T

Sí No

H W

Sí No

H T

Sí No

H F

Sí No

H S

Sí No

H S

Sí No

Pick-up Service

R M

R T

R W

R T

R F

R S

R S

Pick-up point

Payment method

Account holder

Conditions Club

To be able to mark, read the conditions.

Ver condiciones club

Authorize Commercial Shipments

To be able to mark, read the conditions.

Ver condiciones privacidad

How did you hear about us?

Facebook Twitter Un amigo Instagram Televisión Flyer Competición Otros

Right Image

Derechos imagen

Others

Photo

Filename