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***** D I S T I N T A D I G A R A *****
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Campionato – Coppa – Torneo Calcio a
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gara
PARTECIPANTI
n cognome e nome cap/v.cap data di nascita tessera gara*
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* tessera gara o documento di identità legalmente riconosciuto
DIRIGENTI
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(1) DIRIGENTE ACCOMPAGNATORE (2) TECNICO (3) MEDICO O MASSAGIATORE
SI DICHIARA CHE I SOPRA ELENCATI ATLETI SONO TUTTI TESSERATI ALL’ASI NELLA PRESENTE STAGIONE SPORTIVA
IL DIRIGENTE ACCOMPAGNATORE L’ARBITRO
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