nails
Coni
wS'UESSOLA
CJi'
aliD Sport
.i
Matricola. Pederale 911444· Piazza. s'arU' Agostino n..~- 8102 I Aricnzo (CE) ,
Tele Fax . 081J 80564·9 SlTO INTERNET - t:Irltpj is euolacalciosuessclafetoblogh E-NlAJL- suessol aCiLldo@bo1J1l:iLail it
FOTO
CALCIA. TORE
SCHEDA iscrUZION Eo
DATI DELI.~ ATLETA.
CO(INO:~
~ __
NOME
~~
LUOGO DI NASCH A~
DATA DI NASCrrA.
CODleE .f.1SCAlE
--~--------------------------------------------CAP --------------
I}.[DI1R.llZO C'ITIA'
--------------------------------~ROV
~----------~---------------
---------
TE1.EfONOFiS80 ~---------------------- CELL. ----------------------
DATIl)EI
GENITOR I,DfJJ...'ATlJ:FA
••••-{
rAnJtE~) ~.~
COON'OME
luono
-------------------~
'NOME
-=
--~~------------~-
DI NA1:lC'n:A __
JJ)IATA D I N'ASC,rfA
Co.DIC~~ SCXL~ J'I
--------~----------------------------~--------CAP
[Yl~()V
cnrA·---------~-----------------TEl..EtO}lO'FJsro_~ --_
----~----~---~ _
CE:Ll._~~
COONOME
_~
~~
__ ____'NOME ~
_
~ _
llJO(J,O DI 'NAScrr A ~ __ ~ __
CflDJ{'E PJSCALU INIDIR~lZ'O --~
~ __
DAIA f)J NASClTA _~
--
("AP ~
------~----------------TELI!FONO PJ5,$U
PltoV'
-----------~
~~ __ ~ __
Cf!I.J.,_~~_
I IllltiGlmlill; Sill
OJl.!m~'_ 1iI~,JIi
I
III tp..lil1t~ ;;1.1 ifMilliI'i ~11 DIJm!'D It!
II ~llIlIll'lI.l_
~tl!;Q!JJC'
'r>rn:M de!l!! ~ 1K\1!iM1 !l.1Iu~, gJ rcl ~HJ ("'(QiII!:'!-k! A nJrr,," ,~t1I' ~_j (".AkID a!n.:aSOJ...A "11II1iIp"pN'W1 , ~I'FD9"lj'~ _ '"MIII!!QIJ 'I 'I IPII'KilJ 1!1IiE.I".!!D~'IIII!J1tI
1[00 ig
ClS!~1ii
on&..!O ~ ,~GI.i ~~!Ib~1IqW
J.ireG'lll:(ft1o,a.,~&I'~tc;,-"! tmJlOlS.UIi!O,. mdl&.iIi
..
g 1IIII1
iID,_i
.....
III::ItipJI. ,11;1 ~-.r1I~
C".kI:k:
JOIIIlI~ IZ:IIII~.
I..tI'~IiIIII'rCII"JRm'IGID:!C~
1~1i:I'!lI~~~l..!
Six;Jd.t
Ipr~ L~
CIU'LIr:!
_'~~d'iltfli
1If.~ ~fiii.uI.ljf.::hP1i!'
~tI~
illii!lilltG!hIil'l!:«_HDmi,~III~~d,j
Idt'Iodn&:,-=ni!llC:~ ~!IkU'
iI.-f~
IiII
~lgcblpll1lla~
_ ~""iI-II~~'~
... IlJ!ItiJlUl~
1ILLl:~1!I~>[]
~!drII!.I.Ii
"'cbd::nlldJi~
~-l.!~,I.J:iI.I;rlIo~
.(I'IIIIL"DiI:
~m,'IA:f,,'IllJ
.~nil.b t;Ja ~_.~
La ~t'l:I!C1Ji L'lllil1C'~'
liI~]I'ilitl1bil!,1 ~~!p!I~flj
*"'ilI i.nt:c~
FlET~ OOJ] UiI. !il1I1I!(I1id 11c~ ~imoJ
!i.\I~1l4lll! .flilliiltllBIR Mt!"LliI!~I]fl IL ~~ilu< iJC~
rn IfIo DIIIU,. mm.kil.
~_
It ~
pwl'Hd.
tlttll~~
lIII
~~i~!iP-D.lfli)lirC,
P.i.I L~~
~llJgi'l/n;n:lrnl~ I'crviO'lLtlllil'lc iI:j~glr.limetii:@
.i:II_U
t.n",rIl.cWlt'!\;11Yi,1fiJ;ja!Jg!I'l:illf~f
'-'IJ,iIiI!g!!L~ jKI
I'll ~I.r:}i.e"
~
of:
lfliLl IOflu
~1!-nlJj.
fIIl'ImilJ~ ~1j.'fII
wmlD d»lrnamgl.l!il~
l. "'~1U!~;i ~ IlrllE!(',I),
c..:a diM MI ~ 4dJ'.-dmr Im:I ., _
~:iI:It
lib lJiiIn,
~'l.,
Iil.'!I j!KIIKJ IWlJi, did ~
~.(I~JOw
~«r u ar A
• fbgjIIIiI pM". ~
"'('.IILII.:b
fInm 4i iwwIIJ!141111&. ~ i:kfIc ijyrl , par
LJI
CBlIiiij "''' Il!rl!tl !!Mr!a.!l'im!FlQ
I) UiriUD d:i dn-Crl ilfllil c JI iiooirnl ~ID1I~till l:mul'milO; 2) [}1I"rlf!J 1111 rill ~ Jtl I~ ~~ O:!fl~dI ~rl'l!"tll!'t'd:i ue ilt~J:iI~, ....~di.ma.a'PliE~a.¢1i:::
n$
Spa"
s.DlrmDdJ
" DaluI;:i
.,~dL~lIIp1"C~ " ,1JJiriBO rill ~ d U1I qgt adI.IlaDMIII 'LI',;U :Di.riUo ~I M i:lllIllCIrlrt til rrpmo.
1, Dioao ~
LJ..I.[M~LnW
1CD!:n~lc~;;b "leW ~ IIIdlHnIIII)JIiI Ji1IiiII .... ~ !lI!CpH
~
!1!1!
_~ ..................... ~
1HQIRI..lJI,
dJ
Ilt
JIIDI:1fI
l~fQgfi
del!l.. lIn!oo G"f el,!~IIUll F~iJlt!a. ~~~i::ll;iilil (IJ.E FA.) 1)1] CALC 10 h UN QI uoro ~EI!:. nrrn ~IJOVE l!fHf.R ESSEIt.E: 'P"M TI('AlU IJt}VLJNOQJIE, !~ CA.LC1Xl! ~ f ~ 'tWIT A. I] 11A 1)1l·tAJ.C~O rn~ilrMICrIiA• £ ..~UCJ\l.C'~O t O~"fiUA. 1) u C,l\tJ;~(J I:. .M.~'~J.IL.J"11~ ifl) u ~K) Dt1'r I ~"'~ '!i\;"(}[.10 IN ro~DI:'I.ll'Ol-4I :sn~l"llf.., fill CAJ.ClO O[VG ItQiSU nOf"OrS<TO rO-:li:ATTlYn"A YjlFUAEilU
15) II Cj\l..J:k)
Jim~
im.:o~~IIlIDn.i=.
9111 CA l[ m t l N 'fdl!.tOCO MEltAvmu~} m~ C ,I\bCIO (1!.ThI'G!.1JOCU ilOPOLA R"E.E! N"Ji.!;;CED~II.I.J,; ~DA. n
t ij,.\lltlZljI..
'REOOU !lE!i.l1..GENITORE: U ii'~\g;(Ii1;g ci!c ~I:g!li i.alTfof.E'i 'iii]
iSJIroUJITJ8 ~; ~ iIfj
!IDO q:gt 'M~tn Ill~D i:" ~ ,1Iri pm!:: dllIlIl!D~. die ~"¥QI1Jt1o ~e~ ,Iii 100000~ilI'Io. ,ooHe ,h~,glIllilj]1lD. di We :li!i~\'1t&,. ii~ ~~Q ~!lI.liQ.. dI~ IWmJI'RJKkrc. cll~ lQ-1ipCH j!j QgIIi eosa, 4i\'l!!rti~ """1!!iiH, iili !lI;BIICilHi~~ ,~1liIIi m:l!l:it.lll ~~~ :il'!i$i~ Q !".i!l:RIllmb:i~mII. >Il.iR, II 11m d.cDc
'!iDllc ii!ZlJW!iii Q~o.roID ~ 11M
dJ
ailJl.'o
Ill, giDV~
:SJ IiIIJ 00811lQi q i: a;eg I;Il~ il1cJIIl 0"
Il!!!/';J,~t!rru_nl~ l)1Iila!'( rilul~i~c ~ijm'@ r.liI'ir,rr.Q"'~
~l,'~h!laJt'!I.(iiItf ,L"IDJII'j ~ p!J!m
i!!i !JW~ rImBmlli pi!! r i: g8Fl~ a 1'1.. !:d, iiKorilHiilm JIii [pIiIIIlGU ~ ....., Jru;~ dJ~ jill S!OCJ[.[] Qcl1''otp\',11i ii:la ;Il:a;(:U iIfal b;:!I:l!iI~ L~W1t_r;cI1l:l1 ~ 'rilpp1llll(l !;iJll L!d~rn'C'" pi!J fliR' m 1il000 ~ni III'i:vino ~ ;~i,~ dagfJ ~t~ eli flrr~ri_!fj~!« JiWCi.m: il 'tmm!ifuD.11.bem ~l=trimmJ lei ;1lI1.(!~D:!~!JlIo!f!dl Iii, g;w ~~,~rut!jl!1m '!!!!OO~di 'I:d~lo '
'5l!imoilll'e
wnrnhrno
1,;I1!.i
!!iIL1JdJZL~J E!lW~'I;Ornp~~i
o!I i"ill!i!! i~j'ij. [)!~l1llr,grsi :if!~~ 11li~ CiJII4'c:fi4pro Lir.I.DiI~Ii'!ecl!.A !iJllIItIfio!!i!~!
i;]odJ iIin ItLnrn~[lIJj 0~
001]
g:~~~b!"'! H\nfu;ti~
"h'~ '!o'III"i ~
~5i:;
ed
IlI'on',uti IiIcllli pll
~LlIIli~'C ,~
;!IDa
00Iii Ii;;
,f~&I!lI!,1J\:.!l,iI'i!IClI!I~ ~1L~~ ilIi ~~IlI¥i ~ 1\ti1~~MR' fa ,~,c: lo ~ del ~oo~ II~, IJIO:mtW iii, dilI~illM:. .fil!filll!~ li~.E!l~. !C~i~~~. l!s'IXlti j;II.i'$l1nl, III ~il'1~iIRi a:oh<D~ il hi~ ~o.i_qgiro !1Icl1Himbi~ n,'~ 'li:fI, *,tQa!:i~o j;l!:i'~UI1!;,'<!o 100 1I:!iJ]_I.il iliJliI!JJj.lll ~ ni :rfiwbam. npcr ~.t mo]m J~iu ~~~f,EI~,p1
!;!ff'rm'mn4t.:: D'ppilr1umM;p:l [1l1li ccl~CIH: ~\''[] 8PDBO!'::.Ib.!!I~Lrn' i1I~lI~ ~C'. dfg1i [[11!,~~~i!, ~g'I!i: pi1Ji!t1iIiil, d~ F:'t'U[!'l'i rnitummli, ;;i~1J IJrnri. ,!hi .g1!lU'![;iD.~ ,jJ;iI,'~gk:B_~lmaIllllm ill ge~itJw O~ll I Ilti
di1l1itlilc eriI jlll~i:t!I\II'It~ die !IiIIjl(ir\1
iill~15i)
Ai. ~I;:rii
l~r~!TI,
4J, "'Oirnill !h
1 iii 4,
prnvlSID da dl!ipomlool di ~~~. II U!ls~l'8~i ~ OOfil ,SacieUi ~Q 1anuti iEiI ~Iiii a viiiihil lI1I'1_iIIiIk:aI ,I!IJ 'nM dd'~l"k!!m!!ll'1llJ. 'd"I~!dOJ'!eil!8 ,!!iI~,!lt'!J.\!~ ~1"!WaL :2. L ~amemo a'dtliaonQiiiI Ii!~rrca II'l! ridllBJi.W p$' i' 1~1J;l8tori ~ '1~ ann! !ill! ~, P:!1r:!~ 'tuW ~11',liiilrl ~ e ~sel'l~~, r,g~WJ!'!I!!flIQ d~oi"!$l~ i!!!P~!r'le:i!6, MI ~ ~ !;l:yj ,i!llrr.iiliil M, mIDlll'lili !]. ulll11l1l8 [[:iIli1il" andta iI COiI'!~ul!!l'1i!n'ljJlEf. ~~i1BB :ilill~lotIl.i, a, ~iu !lCcertaifl!ientl B\i..,emoona- In dBl ,PrlinD tiJ-"~Flto I(Ii '(a,'o!fI[l!Id~lIa iS~!~ 'ei '!,iQ;1rJna rl[iidUli. Ogm,i ,iIIiiVK!,
1. SlIIi'i'Q' qi.iiEili.'LQ.
d.di:e ~ClmC' Orrgnniu.n(;jv.:: lIltcr:Jli: ellitll<!' (L:,j-,O.C.~:
Tutela 11I1!11d1oo-II!flIJ r1iYo!I
,~.OJ.'F
, ~Ll~ F~~[Hii1:l
!i'!!h~, ~
ar
I~
primIiI oell'inrzlD ~Blii'i'.ti:& ". !.te ~iJ1CHUiOf'I! ell idoM:itl SOM ~n.1II10a!i!D Blii ~ :~ iild iI.jo~.e
8 'Wf8
di;i~ ffiI:&d~ :~'Ie
!Loo:g~ i3;l,Ji!iII p!!L-"'EI~ '. !J1r~~!Na it r!chl=tiii oj ~IiI:!!iD tr O'JglIJ ,IL ~ 9(; ~J JOllXiJ2COl hi! ,1;1 Il:n:aliia di 8~ ehe iiI tr.:ll1:;m~(Io;;:L::. dl!~j ~II p;j, ffillSili MJ !I'i~w.;rm Ilinlll, ddi'e. 1I!!!m1L'[or:lIbm~lJCIlic ilkUn ~ dille. pcrll1Jalr-., 0011 pmi~1afe fli!3'l~ ,~I~ ~"w..._!'ii ~ !l!n·~LlJUi ~;!lc.. ~ ~~ ~~ili'Cii;CI ,~~ in ~..ooJI,~ irlfmuni:oJlll ~I :fj1lllli1~!I) ,~litJi ,d,i, '1lr~t1~ ~ ~.Qll ~i P.Cii't«IaI~ c !!:lie ,~ll' :lj]'~Q Slg ~i(i-:!MI :i. ~,~ per i~lriU£,II trntl.IIlX1JEiJ iki !ll[jti.l~ ~qIUl.i illII JliUM; ddt.. ~lfIi. ~jct6 ~f1it~ ,.1i~1;I ,I i!;\O!I~!:!I5Q'o11;! !"!!lltd~Il~ F ru;~'r~ dbWiilIid'i J~ c:l1Ii ,"WlN'liOIG:JICfi' iI ~~rullOdI::J I!iI::!il!i difili:i ~1~r~!!!JiO liII~'1!irb dll~:i qJ.I! dnll! i\~Ci.)['~ ~I) :j'fg(.i!L~.ilJl !lUI ;;i" .:;o:,itlJf((Io 1II modo rum 'J:3nIlIl1.~.·~ .~~ OilIlI!IC,. dJi.:!I e ~1niJ~ eli 1~I~jj, ~il~i'llirufi. rmikll!.ll, dfllllkiJi:n, ~Uru£Hl 01 i.clefurii!!, j,lM~lI 'li!il'1l.T.,jIhi~I ~!I!I\l~:[ ';I'IJ~nil!O mg,zi c:'lJ:tIrom'Ci IfJa" i1rn~ 4i ~ dpll:lll_e~ ~.Ji~ l£i ~!li, '[;i[iijIWl< • iiiSehlil~_l{j del dr!Il~nJi iII !lJIl'P=!fblJ. CDTtDWD cle inful'lrulUoc! dn [;lill'if dlf!lL·~I~irlCE;. ~ ~ ~1(iin!:i.1
- tDti:i!Zl;l'
O~ ~nti Jm
l1IJ.;i
~ coo, 10 C~'mI:lIIIti
II
'. ~~I~ ~ (!o.li:ir~I~1. ~]7.igiiil: ll~ li!iltilililu .B1~ Gig! ~j ~Qt:lfmll'li!fil:o dill daJj, '~Eiali CDffiiDl.i 'f' ~1~'Lf:!bl,li I!I i!f~,mi!im~iti ~jClJlIIl1r ~1·3~
~
'CWdilri p:IIYLd'i~ifit'tf, I\Icll~ YJ~i!~ .iri(idi:~:h.iil4·JggLI¢Jgi~pi.ldl¥ill iI.:Oll' 'I' ,Ii.:riro!b :!!l1l!1l1n ~~ al~ lIinllmm:: mciliiIMl OOIJ'fCI'Li'iij)~ I~' IlCIIl., e pu 1.!D13 fri'j'~r"" j,lliJlji.f'i~L"itll!1 O il1d~ ddJ"illID'illi ~JI*lllUw(I ikJJ[!: oomlll1]~~ C'fIfi~
ifJd~i:i.\I!;I ~~t''lTltl~
,p~e
i5Iilw.ioo;i_1i ,JkUo ~wioo_e
~r·~I~II[:[]. eittcill';Jj]]]~nte:~
~1i1('lf[J\,,~
S,I;IIIWl;<1l.
iii. filii, ~
.b~~lll1~8lBill~
i~ fjEiIdi~~,~'1M :!II, '!).OtagFllti '~r~~L1, ' pc:::r 1" iirM 0. dj 00Jt1J.[[I.j ~B.MmLi cll l,I8J-i:fii
I(it~rnglL.w
mrt~, e DtiO ;W'li~:Il:iii'Ci:iiliI ~31j~. gl i:(!~ ~ l~ l!! ~D'.:!HoJ!c ,.~diti!:il IiiiirilllllMdlJ1.l11 c tUlIGnf:eIDclllJ ,!!W7Il'iall'iori£! !IJDti'l,'.I" ~.i3i1I oi; Iiatu.-" !.11!J i"i~Q ' ~ :[1t. plV[i'Ji!ll ~mu gllll,. utilll.Zl:lllOO la m od.:Il'iUi oppoTI~H'In (e&rIMCD n rna ... " ~o~ ~-mfliIJ '[ii;MS., Il«:.).. ilti' U'inj;o¢rijjj~ii:) .:Jil ,~t1i:i. 1!'1i!~>;!rte,. i!IiIl!jjlllii iJ:! "
d!1li
oII''Vimc
IlJ:l
(:tIrilimLIi dc.gli iru:mif:a.ti d~
ffiIlllDVl'lin:
lid propl'iilI! IllllihnJIJ
I!l,ih;;rnlil If! il'itllil fii'Di)"Ti;!
iitlbbl'~
·~IIl!i!"'11J!'I' ·~·tM"C..IlIJ..iJI·1.c! putMlllQli'lfli'iil pO' jj p1JJib~~[I!lC !!II ~& dlJ,
flll.n::K!
dc~ Ji~1i!.Q
~~1ml~
~
iI7~[i
pl1.1i'i'"!1O!!1!lnI
II:~
1IlIi!I:I:D1,1i.ii.1;,~ ~
rII ~fUJUI, 4dI'mlD~ o.~ i"lq".... 'I!pht.!Ii L~1d.T r U
rli:lmiJJ 1il1fdli'1!fiI~"
"'O!i~!T~~~tiJ
~~
h;I
I~
I!!:I ..nn,lIi __
" ~
mna di. iI1IllIIc
[!J;hW. 0Ii tJ;II ~ ill ~~
I!m:r
.,t_!
,~~"
Lk~J !:lllIrnu
4j~ "'! IffliIiilfiinJ,'l. ~~. uJm~I..i.W ilil~OiIfIai~ Q 1w.1i.!1;! !lJ.:' ~ d.t crill:Mf.f! J'!!~!ilI~ilm~!.g. l!! IfiII!;JIJlIubli .!~j'!gi.lw~ dl:'li ,!!Inti. i. '.ll::J:iiwMlll:'. JII1lm~tLI~ I~ ntmIl ~f:I!IIlIlIDJjIil'd bl~d~ dt!~1!~l~tl Ii! '"!Iil~Clddl'.!! l.(i~i d IltIDuA:I ig ,;j1"lt:i.odl~i.FflDJiIo1. kl{lumlil. nl 1~1lI1JJ<llIi?IIdii[1 lllJl~,n ~11:rnn..1ZIII:I;i IkIi ,ilIIJ ~H! ~~ ~, ~~ ( illdtl ~ 1'JESSOl..;,. ..• (:I;:i'I, ~ 11m,
~L11 di:jtffji"l.ImmiJ.1'. dclIa ~
p:m:III1I,CI b
,!kJj'oosmc 'IkIi dilIi, !itoJl.c ~buJlIJ ~ dl=:lIa !*,~[1alwl tit!! ~!JL.Nl·~' IIim ~11(l!JI1
·1!YO.1IIftiIiIi
~ri'"
III
rmm.a
(II
~.IkJ mtd~
II!~ I
dQ!~
I!g ~
ti)'r.j}(';i!Jlt
,Cj
dI ~
111 n,crc
i1I.JI.b .~1l
Mif1,llD IIII1! J1'~
-
!h~
4cllflllltwti(ifln
~i ~
~ II .~
S,.IWOSliNtii
II
P"Q"ICClfI"IPC' ~
[)ufn);
