in all parts and mark the items chosen.
Identity card or driving licence n° (specificy)
Racing licence YES
Tax code, if applicable
Mountain Bike or motorcycle owned
Use of school bike YES
Use of school motorbike YES
Reason for participation:
Difficulty of the motormountaineering itinerary
courses (please specify)
Further request as per brochure:
Total price of the course chosen:
Discount (if any):
Signature (attach authorization for minors):
Note: This registration is valid only after the return of the form with
stamp and signature of approval by the Valsesia Trial School, on
condition that there is a minimum of 5 participants per course (only for complete courses). If the
school fixes a different date from the one chosen by the participant and this
one gives up (up to 3 days prior to the date), the entire deposit fee (100%)
will be returned.
Do not write anything more after this point.
Approval with stamp and signature: