{"id":796,"date":"2020-10-10T07:19:20","date_gmt":"2020-10-10T07:19:20","guid":{"rendered":"http:\/\/www.amicidelmagreta1.it\/wordpress\/?page_id=796"},"modified":"2020-10-20T19:35:42","modified_gmt":"2020-10-20T19:35:42","slug":"autocertificazione-adulto-eg","status":"publish","type":"page","link":"https:\/\/www.amicidelmagreta1.it\/wordpress\/?page_id=796","title":{"rendered":"Autocertificazione Adulto"},"content":{"rendered":"\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"http:\/\/www.amicidelmagreta1.it\/wordpress\/wp-content\/uploads\/2020\/10\/Mag1_Header.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">AUTODICHIARAZIONE AI SENSI DELL\u2019ART. 47 D.P.R. N. 445\/2000<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Il Sottoscritto <br>consapevole delle sanzioni penali richiamate dall\u2019art.76 del D.P.R. n.445\/2000, per il caso di dichiarazioni mendaci e di formazione o uso di atti falsi<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DICHIARA SOTTO LA PROPRIA RESPONSABILIT\u00c0 CHE<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">a) non ha avuto una temperatura corporea superiore ai 37,5\u00b0C o alcuna sintomatologia respiratoria, anche nei 3 giorni precedenti;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">b) non \u00e8 stato in quarantena o isolamento domiciliare negli ultimi 14 giorni a seguito di stretto contatto con casi COVID-19 o sospetti tali;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">c) non \u00e8 entrato a stretto contatto con una persona positiva COVID-19 o con una persona contemperatura corporea superiore ai 37,5\u00b0C o con sintomatologia respiratoria, per quanto di propria conoscenza, negli ultimi 14 giorni.;In fede.<\/p>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f785-o1\" lang=\"it-IT\" dir=\"ltr\" data-wpcf7-id=\"785\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F796#wpcf7-f785-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Modulo di contatto\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"785\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"it_IT\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f785-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><label> Nome dell'adulto (obbligatorio)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Nato a (obbligatorio)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"NatoA\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"NatoA\" \/><\/span> <\/label>\n<\/p>\n<p><label> il<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"dataNascita\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"dataNascita\" \/><\/span> <\/label>\n<\/p>\n<p><label> Branca: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Branca\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"Branca\" value=\"Lupetti\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Lupetti<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Branca\" value=\"Reparto\" \/><span class=\"wpcf7-list-item-label\">Reparto<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"Branca\" value=\"Noviziato\" \/><span class=\"wpcf7-list-item-label\">Noviziato<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"Branca\" value=\"Clan\" \/><span class=\"wpcf7-list-item-label\">Clan<\/span><\/span><\/span><\/span>\n<\/p>\n<p><label> Data (obbligatorio)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-439\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-439\" \/><\/span> <\/label>\n<\/p>\n<p><label> Il Dichiarante<br \/>\n<div class=\"wpcf7-form-control-signature-global-wrap\" data-field-id=\"signature-618\">\n\t\t\t\t<div class=\"wpcf7-form-control-signature-wrap\" style=\"width:300px;height:200px;\">\n\t\t\t\t\t<div class=\"wpcf7-form-control-signature-body\">\n\t\t\t\t\t\t<canvas id=\"wpcf7_signature-618_signature\" class=\"signature-618\"><\/canvas>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wpcf7-form-control-clear-wrap\">\n\t\t\t\t\t<input id=\"wpcf7_signature-618_clear\" type=\"button\" value=\"Clear\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap signature-618\">\n\t\t\t\t<input aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"hidden\" name=\"signature-618\" id=\"wpcf7_input_signature-618\"\/><input type=\"hidden\" name=\"signature-618-attachment\" id=\"wpcf7_input_signature-618_attachment\"\/><input type=\"hidden\" name=\"signature-618-inline\" id=\"wpcf7_input_signature-618_inline\"\/>\n\t\t\t<\/span>\n\t\t\t<\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Invia\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\t\t\t\t<script data-cfasync=\"false\" data-nowprocket data-noptimize=\"1\" data-no-optimize=\"1\" nitro-exclude data-jetpack-boost=\"ignore\">\r\n\t\t\t\tif ( typeof huOptions !== 'undefined' ) {\r\n\t\t\t\t\tvar huFormData = {\"source\":\"contactform7\",\"id\":785,\"title\":\"AutorizzazioneAdulto\",\"fields\":{\"subject\":{\"first_name\":\"your-name\",\"email\":\"your-email\"},\"preferences\":{\"terms\":\"your-consent\"}}};\r\n\t\t\t\t\tvar huFormNode = document.querySelector( '[id^=\"wpcf7-f785-\"] form' );\r\n\r\n\t\t\t\t\thuFormData['node'] = huFormNode;\r\n\t\t\t\t\thuOptions['forms'].push( huFormData );\r\n\t\t\t\t}\r\n\t\t\t\t<\/script>\n\n\n\n<p class=\"wp-block-paragraph\">Il presente modulo sar\u00e0 conservato dal legale rappresentante del gruppo scout Magreta1, nel rispetto della normativa sulla tutela dei dati personali, fino al termine dello stato di emergenza sanitaria.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"http:\/\/www.amicidelmagreta1.it\/wordpress\/wp-content\/uploads\/2020\/10\/Mag1_Footer.jpg\" alt=\"\"\/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>AUTODICHIARAZIONE AI SENSI DELL\u2019ART. 47 D.P.R. N. 445\/2000 Il Sottoscritto consapevole delle sanzioni penali richiamate dall\u2019art.76 del D.P.R. n.445\/2000, per il caso di dichiarazioni mendaci e di formazione o uso di atti falsi DICHIARA SOTTO LA PROPRIA RESPONSABILIT\u00c0 CHE a) non ha avuto una temperatura corporea superiore ai 37,5\u00b0C o alcuna sintomatologia respiratoria, anche nei [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-796","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/796","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=796"}],"version-history":[{"count":2,"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/796\/revisions"}],"predecessor-version":[{"id":827,"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=\/wp\/v2\/pages\/796\/revisions\/827"}],"wp:attachment":[{"href":"https:\/\/www.amicidelmagreta1.it\/wordpress\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=796"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}