KATABASIS Associazione Sportiva Dilettantistica
Sede Legale: Via Capo ai Pini, 813 - 57031 Capoliveri (LI)
ISOLA D’ ELBA cod. fisc. 93064470383 - p.iva 01681610380
Tel. 346.823.16.43 - [email protected] - www.katabasis.it
Sailing, Freediving and Spearfhishing- Tuscany and Corsica 2/9 September 2017
Application Form
Name...............................................Surname................................................Cell Phone Number.......................
Date of Birth..................................City of Birth...............................Country of Birth............................................
Address..........................................................................................................................................................
Zip Code.......................................Country of Residence................................e-mail............................................
Freediving Agency Certification:
□OTHER.....................
□SSI Freediving □AIDA
International
□APNEA ACADEMY □FIPSAS □CMAS
(mark your choice)
As a member of KATABASIS:
-I ask to be enrolled in the Freediving & Sailing Cruise that will take place in Tuscany and Corsica
-I am in possession of a valid medical certificate for diving and other underwater activities as well as level certification and
will provide copies of these documents on the day of registration.
-I hereby agree to abide by the rules indicated by the sailing trip instructors.
-KATABASIS, including the organizers, institutions and persons related to this sailing cruise, willin no way be held responsible
for any injuries or problems that may occur during the course. As a participant, I recognize the risks of freediving and
sailing and will take the necessary steps to avoid placing myself or others at risk throughout the cruise.
PARTICIPATION FEE
Sailing Cruise and Spearfishing € 660 + € 30 Subscription and Insurance
Pay attention
Food, gasoline and docking will be paid with a common fund among participants (except for the
crew).
Bring your own towels and bedding or sleeping bag.
All the participants will be involved into the crew procedures (food preparation, cleaning)
The inscription will be deemed accepted by a deposit of € 200 per participant.
The balance will be paid within Friday, August 25th, 2017
Methods of Payment
- Paypal - ref. e-mail: [email protected] - this option is preferable
- Bank Transfer:
Bancoposta account n. 000062479522
Giro (postal account) held in “KATABASIS Associazione Sportiva Dilettantistica”
IBAN IT55 W0760113000000062479522 - CIN W BIC BPPIITRRXXX
Reason: ‘Participant name and surname’ ‘Corsica Cruise 2017”
To enroll, e-mail in advance to [email protected]
This form signed up, copy of the deposit payment, and any equipment you need to rent (if available).
At arrival is needed to give, if not sent by mail
- Copy of The medical certificate
- Copy of Freediving certificate
- The Katabasis Association form in original
- The copy of the deposit and the balance receipts
How to get Salivoli: Have a look from the web site www.katabasis.it
ATTENTION: Registration guaranteed only upon receipt of the deposit and all the documents required
There will be no refund of the deposit in case of cancellation.
Place, Date and Signature ……………………………………………………………………........................................