Booking Early bird untill 31 Marzo 2019 ITAENG Iscrizioni 2019If you are human, leave this field blank.ANAGRAFICANome*Cognome*Indirizzo*IndirizzoIndirizzoIndirizzoCittàCittàProvinciaProvinciaCAPCAPPaese AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItaliaJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePaeseCodice Fiscale*Hai la partita iva?* Sì NoPartita IVA*Email*Cellulare*ISCRIZIONECategoria* Studenti CdL in Fisioterapia (aderenti GISPT) ° Studenti Master in Fisioterapia sportiva ( aderenti GISPT ) ° Soci GISPT Studenti Master in Fisioterapia sportiva (non aderenti GISPT) * Soci realtà Partner (AIFI, GIS, IFSPT, BJSM, JOSPT) * Altri** (altri fisio non inclusi nelle altre categorie, medici, LSM e preparatori atletici, altri che lavorano nello sport)°= posti limitati!*= iscrizione come sostenitori GISPT BASE inclusa (per maggior dettagli sui benefit conseguenti, visita la pagina dedicata nel sito gissport.**= IVA inclusaprofessione*° = posti limitati!*= iscrizione come sostenitori GISPT inclusa**= IVA inclusaVerifica il costo per ciascuna categoria nella pagina della QUOTA D'ISCRIZIONEVuoi partecipare ad un workshop nel pomeriggio di Sabato 08?* Sì, mi voglio iscrivere in lista di attesa NoWorkshop (30€) (iscrizione in lista di attesa)*ATTENZIONE: WORKSHOP COMPLETO: On field trauma management / 30 POSTI ATTENZIONE: WORKSHOP COMPLETO. Functional assessement in ACL injuires prevention / 30 POSTI (riservato a fisioterapisti e preparatori atletici)ATTENZIONE: WORKSHOP COMPLETO. Exercise progression for athletes with groin pain / 30 POSTI (riservato a fisioterapisti)Riceverai conferma dell'iscrizione al workshop scelto entro 48 orePausa pranzo: hai intolleranze o necessità alimentari particolari?* Vegetariano Vegano Allergico ai latticini Diabetico Celiaco Nessuno intolleranza o preferenza AltroAltroPRIVACYautorizzo il GISPT alla conservazione dei miei dati personali con finalità esclusivamente riferite alle procedure di iscrizione e di fatturazione congressuale*autorizzo il GISPT ad inviarmi informazioni riguardanti il congresso ASR Conferenceautorizzo il GISPT ad inviarmi informazioni riguardanti altre attività formative e associative in programma nel 2019autorizzo i partner che hanno sostenuto e supportato la realizzazione del congresso, ad inviarmi via mail alcune informative commerciali per l'anno 2019reCAPTCHAInvia Use this Form if you are not Italian and not work in Italy Subscription 2019If you are human, leave this field blank.PERSONAL DETAILSName*Surname*Address*AddressAddressAddressCityCityStateStatePost CodePost CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItaliaJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCountryPassport number*Email*Cell-phone*subscription typeCategory* Partners member (IFSPT, BJSM, JOSPT) * Other** (medical doctor, S&Conditioning coach, Atletic Trainers etc)worker as**= subscription as annual GISPT supporter included**= Vat includedCheck your Category fee at this page Registration feeWould you like attend a workshop on Saturday 8th? Yes NoWorkshop (30€)*On field trauma management / 30 seatsFunctional assessement in ACL injuires prevention / 30 seatsPAY ATTENTION: WORKSHOP FULLY BOOKED. Exercise progression for athletes with groin pain / 30 seatsWe will send you a confirmation mail about workshop availability in a few days. Lunch Break: Please tick the box for any food requirements and if you have any allergies* Vegetarian Vegan Lactose Intolerance/Dairy Allergy Gluten Allergy/ Intolerance or Celiac no food intollerance otherotherPRIVACYI give permission to GISPT to process my personal data with exclusive aim to use it to finalize conference subscription and receipt*I give permission to GISPT to send me information about ASR ConferenceI give permission to GISPT to send me information about some courses planned during 2019I give permission to Conference partners to send me some products/courses information during 2019reCAPTCHAInvia
