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PHOTO AND/OR DATA RELEASE
ON THE "MATTEINI.ORG" WEBSITE
To be filled in by persons of legal age, if minor, by those exercising parental authority (e.g. parents)

Name*

Surname*

Born in*

on*

Resident in*
Tip

Street*

e-mail*

Repeat e-mail*

CONSENT*

                                                                             AUTHORIZE
 
THE PUBLICATION OF PHOTOS, PERSONAL DATA, AND/OR OTHER DATA CONCERNING MY FAMILY, SENT AS AN ATTACHMENT BY EMAIL TO CONTRIBUTI@MATTEINI.ORG FROM THE EMAIL ADDRESS WRITTEN ON, AND AS THE ONLY ADDRESS TO CONTACT ME, FOR THE SOLE USE OF PUBLICATION ON THE SITE WW.MATTEINI.ORG, FOR THE SOLE PURPOSE OF ARCHIVAL COLLECTION.
THIS AUTHORIZATION DOES NOT ALLOW THE USE OF THE IMAGE AND/OR THE DATA THUS RECEIVED IN CONTEXTS THAT COMPROMISE YOUR PERSONAL DIGNITY AND DECORUM AND IN ANY CASE FOR USE AND/OR PURPOSES OTHER THAN THOSE INDICATED ABOVE. 
THE UNDERSIGNED CONFIRMS THAT HE/SHE HAS NOTHING TO CLAIM BY REASON OF THE ABOVE AND IRREVOCABLY RENOUNCES ANY RIGHT, ACTION OR CLAIM ARISING FROM THE ABOVE AUTHORIZATION. 

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I agree

ATTACHMENTS*
Tip

DATA*

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