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\par \hich\af31506\dbch\af37\loch\f31506 indirizzo e-mail........................................................................................................................
\par }\pard\plain \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid6765198 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1040\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1040\langfenp1033 {\rtlch\fcs1 
\af1\afs24 \ltrch\fcs0 \f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 \hich\f31506 in qualit\'e0\loch\f31506  di genitore (o tutore) del minore (}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 
\i\f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 nome e cognome}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid6765198\charrsid6765198 
\hich\af31506\dbch\af37\loch\f31506 \hich\f31506 ) \'85\'85\'85\'85\'85\'85\'85\'85\'85..\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid2627722 
\loch\af31506\dbch\af37\hich\f31506 \'85\'85\'85....................}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 , nato/a a }{\rtlch\fcs1 \af1\afs24 
\ltrch\fcs0 \f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid2627722 \loch\af31506\dbch\af37\hich\f31506 \'85\'85..}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid6765198\charrsid6765198 
\loch\af31506\dbch\af37\hich\f31506 \'85\'85\'85\'85\'85\'85\'85\'85\loch\f31506 \hich\f31506  il \'85\loch\f31506 \hich\f31506 ./\'85\loch\f31506 \hich\f31506 ./\'85\'85\'85\loch\f31506 .. e d\hich\f31506 \rquote \loch\f31506 accordo con l\hich\f31506 
\rquote \loch\f31506 altro genitore}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 , }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 
\f31506\fs24\lang1040\langfe1040\langfenp1040\insrsid6765198\charrsid6765198 
\par }\pard\plain \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6765198 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1040\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1040\langfenp1033 {\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 
\par \hich\af31506\dbch\af37\loch\f31506 con la presente
\par 
\par }\pard \ltrpar\s15\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6765198 {\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 AUTORIZZA
\par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6765198 {\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 
\par \hich\af31506\dbch\af37\loch\f31506 la pubblicazione, senza limiti di tem\hich\af31506\dbch\af37\loch\f31506 po e spazio e senza avere nulla a pretendere, dell\hich\f31506 \rquote \loch\f31506 elaborato prodotto in sede di competizione e/o }{\rtlch\fcs1 
\af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198 \hich\af31506\dbch\af37\loch\f31506 del }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 
prodotto realizzato per la sezione multimediale del }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \i\f31506\fs24\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 CERTAMEN PATRISTICUM VIGLEVANENSE }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 
\f31506\fs24\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 IV edizione, sollevando fin d\hich\f31506 \rquote \loch\f31506 ora, con la presente, la scuola da ogni conseguenza possa derivare da detta pubblicazione. 
\par 
\par 
\par \hich\af31506\dbch\af37\loch\f31506 Luogo e data}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid2627722 \hich\af31506\dbch\af37\loch\f31506  }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198 \hich\af31506\dbch\af37\loch\f31506 
___________________
\par 
\par }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 
\par 
\par }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198 \tab \tab \tab \tab \tab \tab \tab \tab \tab }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 \hich\af31506\dbch\af37\loch\f31506 FIRMA}{\rtlch\fcs1 
\af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198 
\par 
\par }\pard \ltrpar\s15\qj \li4956\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin4956\itap0\pararsid6765198 {\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198 \hich\af31506\dbch\af37\loch\f31506 
_____________________________________}{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 
\par }\pard \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6765198 {\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 
\par 
\par }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\cf1\lang1040\langfe1040\langfenp1040\insrsid6765198\charrsid6765198 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \f31506\fs24\insrsid6765198\charrsid6765198 
\par }\pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1040\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1040\langfenp1033 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f31506\fs24\insrsid5200975\charrsid6765198 
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