Domanda di Ammissione - Maison de l amour

ADMISSION MODULE

The data is provided by the compiler pursuant to articles 1, 2, and 3 of Law No. 127 of May 15, 1997 (Bassanini Law) and Presidential Decree No. 403 of 20/10/98 (Implementation Regulation)

To the Board of Directors

DAVITA ASSOCIAZIONE CULTURALE registered office in Via Vitruvio 43 – MILAN (MI), operational headquarters Via Monza 107/32 – GESSATE (MI) , Tax Code 979174870150

The undersigned (hereinafter also referred to simply as "Applicant" or "Interested Party")

Surname

First Name

Date of Birth

City of Birth

Province

Tax Code

City of Residence

Province

Address (street/square/avenue)

House Number

requests

to be admitted as an ordinary member of the association "DAVITA ASSOCIAZIONE CULTURALE" (hereinafter the Association) for the performance and achievement of its purposes, undertaking to abide by and strictly respect the social bylaws *1, the regulations, and all resolutions of the social bodies, and committing to pay the annual membership fee determined by the Board of Directors, which is intended for one year (365 days) starting from the issuance of the membership card and shall be considered automatically renewed for the following year, in the absence of a withdrawal manifested at least 30 days before the expiry.

The Applicant acknowledges the membership fee as due, as well as any supplementary membership fees determined by the Association, the amount of which, as determined by the Board of Directors with a specific resolution for the year 2026 dated 21/01/2026, in force at the date of admission of the member, is calculated for the purpose of covering the higher operating costs incurred by the Association to improve the quality of the members' well-being within the social context. The fee is valid for 12 months (365 days) from the date of issuance of the membership card. In case of renewal, the payment of the annual membership fee must be made within 30 days, or by choosing a split payment plan which, if not completed within the year, will result in the loss of member status.

The Applicant, for privacy reasons, declares to elect their domicile at the Association's premises in Gessate, and here undertakes to visit every 30 days in order to collect any communications addressed to them, which will be left here in deposit for a period of 6 months after which they will be destroyed, waiving any kind of dispute in this regard. The Applicant also declares to have fully reviewed the bylaws, the regulations, and previous resolutions of the Association, viewed at the Association's premises, to have understood them and to accept them unconditionally in every point, committing to respect them and to follow what is stated therein.

The Applicant declares to share the spirit and goals of the Association, to want to contribute actively to the realization of social purposes and to be aware of the fact that within the premises there might be a request for involvement in activities directly or indirectly characterized by sexual themes, also by virtue of the purposes and objects of the Association.

The Applicant declares to be aware of the fact that in common areas and public spaces, obscene acts and/or any other behavior suitable to offend, even potentially, others' sense of decency are prohibited. In this regard, the Applicant declares to be aware that the conduct of those who commit obscene acts in a public place or open or exposed to the public is punished by law with an administrative pecuniary sanction from 5,000 euros to 30,000 euros (art. 527 of the Criminal Code) and declares to assume all consequent responsibility deriving from conduct that could determine the violation of the aforementioned legal norms and the regulatory and statutory provisions of the Association.

Furthermore, the Applicant declares to be aware that within the premises every form of commodification of one's body and prostitution is expressly prohibited, and the use, even for personal purposes only, of drugs or narcotic substances is specifically prohibited; the Applicant declares to be aware that the exchange of personal data carried out in order to circumvent statutory norms and internal regulations is also prohibited, and the recording, reproduction, and dissemination of images and/or videos recorded within the premises and in violation of the privacy protection regulations for every Member is also prohibited.

The Applicant declares to be aware that the Association repudiates all forms of physical, verbal, and moral violence and any act suitable to harm others' moral and personal dignity as well as sexual freedom. The violation of any of the provisions indicated above determines the possibility of immediate removal from the Association's premises, as well as suspension and/or definitive exclusion from the Association. The Applicant declares to have previously inspected the premises and to consider them suitable, waiving any dispute in this regard and being aware of the fact that the use of the structures and equipment present within the Association and the performance of activities connected to them may require specific physical conditions, a good state of psycho-physical health, and motor autonomy.

The Applicant takes note of the fact that within the premises food and beverages are served and declares to be aware that the Association does not have a dedicated kitchen/bar for those with celiac disease and/or food allergies/intolerances of any kind and is aware that the facility does not provide specific norms/rules to avoid contamination of food and beverages intended for members suffering from celiac disease, allergies/intolerances of any kind, that specific products for celiacs and for food intolerances and allergies are not available at the facility, and that on-site staff will not be required to satisfy any particular request that the member may present during the stay. In the event that the Applicant has celiac disease, allergies, or intolerances, they undertake to avoid the consumption of any kind of food or beverage, declaring to be aware of the fact that the Association has no way of avoiding contamination, and waiving any kind of claim or compensation in this regard.

The Applicant waives from now on any objection regarding the services described above, exonerating the Association from any liability in this regard, also with reference to any potential inconveniences that may occur during the stay, declaring that such waiver was the subject of specific conversation/negotiation. The Applicant declares to be aware of the fact that within the Association's premises a holistic and relaxing massage service is provided, aimed exclusively at the well-being of the person. These massages do not constitute health services, do not have therapeutic purposes, and do not have any erotic or sexual connotation. The service is carried out by qualified professional operators and is entrusted to a third party, identified as Associazione Olistica Sweetness (Tax Code 91586300153). Massages are free for members. Exclusively on Saturdays and Sundays, a membership contribution of 5.00 euros per person is required, which does not constitute payment for a professional service. Massage duration: 20 minutes. Bookings exclusively at the Reception. Mandatory cancellation at least 60 minutes before the scheduled time; in case of failure to cancel, a contribution of 20.00 euros is due. It is mandatory to shower before and after the massage. Any inappropriate interaction with operators is prohibited. It is prohibited to disturb the operator during the treatment. In the presence of health problems, it is mandatory to inform the Reception in advance. Massages are not performed in the presence of evident muscle-skeletal or skin pathologies. The omission of relevant information about one's health status relieves Association DAVITA, the service manager, and the operators from any responsibility. The Applicant declares to have viewed this regulation, to have understood it, and to accept it fully and without reservations. In relation to the tools and equipment present at the Association's premises, the Applicant undertakes in their use to adhere to the rules of good manners, morality, and fairness in interpersonal relationships, to use them with the maximum caution and diligence, in accordance with the purposes for which they are intended and according to a "normal use" criterion in a manner commensurate with their abilities. All responsibility regarding their use will remain with the Applicant, who holds the Association harmless from any liability in this regard.

The Applicant also holds the Association harmless from any liability in the event of any injury and/or illness, whatever its duration, outcome, and relative consequences that may possibly derive from the use of any tool or equipment such as, by way of example but not limited to, swimming pool – whirlpool – sauna – Turkish bath – S&M area or more generally machinery that stimulates cardiac activity or other, acknowledging from now on the lack of standing to be sued for themselves and for their successors and assignees for any reason.

The Applicant expressly declares to assume all civil and criminal liability deriving from any conduct that violates the provisions mentioned above, or any legal, statutory, or regulatory norms; the Applicant declares to be the sole party responsible regarding such violations, holding the Association and/or its bodies harmless and indemnified in relation to any kind of burden, cost, or expense, including those related to legal assistance, that could derive from it, and waiving any right of action or claim against the Association and/or its bodies.

Request Date: 4 April 2026

*1 EXCERPT FROM THE BYLAWS

ART. 7 – THE ASSEMBLY

The assembly is represented by all members. The assembly, both ordinary and extraordinary, is convened by the president, by their own initiative or by resolution of the board of directors or at the request of at least one-tenth of the members, by written notice indicating the day, time, place, and object of the session, posted at the registered office for at least ten days.

The meetings of the assembly, both ordinary and extraordinary, in the first call, are valid with the participation of half plus one of the members, and in the second call regardless of the number of those present.

The resolutions of the assembly are always approved by a majority of votes. The right-duty to participate in the assembly and the right to vote are personal and cannot be delegated. The assembly is presided over by the president or, in case of their absence or impediment, by a person indicated by the assembly itself.

The assembly has the following tasks: to deliberate on matters included in the agenda; to approve the budget and the final accounts and the mission report; to approve the internal regulations of the association should the board of directors deliberate their issuance; to appoint the members of the board of directors; to deliberate on changes to the bylaws; to establish annual contribution fees and methods of payment; to appoint honorary members; to deliberate on any commercial activity to be undertaken exclusively aimed at financing the association and therefore aimed at achieving social goals.

SPACE RESERVED FOR THE ASSOCIATION

The Board of Directors of the association, in the persons of Ms. Tania SIMONI – President, Mr. Ottorino SIMONI – Vice President, Ms. Elena BALDO – Secretary, having met today for this purpose, having seen art. 5 of the current bylaws, following the evaluation procedure of this request, unanimously by those present, resolves for its acceptance and issues to the interested party, as the owner, the membership card which entails their enrollment in the association's register of members, subject to the payment of the membership fee established by the board itself.

DATE: 4 April 2026

The Secretary
Elena Baldo

The President of the Association
Tania Simoni

INFORMED CONSENT FOR MEMBERS

The Association DAVITA ASSOCIAZIONE CULTURALE (Tax Code 97917480150), with registered office in Milan Via Vitruvio, n. 43 (“Data Controller”) operational headquarters in Gessate (MI), Via Monza n.107/32, informs that, for the establishment and execution of current membership relationships, it is in possession of your personal data pursuant to EU Regulation/679/2016, Legislative Decree 196/2003, and Legislative Decree 101/2018.

With reference to such data, the following information is provided.

Some personal data is processed for the purpose of managing the relative membership contract (provision of requested services and registration of entry and exit via membership card), the connected accounting, and the consequent fulfillment of legal and contractual obligations. For this purpose, some of this data qualifies as "special" pursuant to art. 9 of EU Regulation/679/2016, as it relates to racial or ethnic origin, sexual life, and/or sexual orientation. The provision of such data is mandatory for everything required by legal and contractual obligations and therefore any refusal to provide it or to subsequent processing may result in the impossibility to proceed with the contractual relationships themselves.

Such data will be processed for the entire duration of the established membership relationships, and also subsequently, for the fulfillment of all legal requirements and in any case for a time not exceeding 10 years from the signing of the membership contract, as the limitation period for contractual liability, or beyond in cases expressly required by law.;

Some personal data is processed for the purpose of carrying out advertising activities, also through profiling, via the Association's online website, Facebook and other social networks, the Association's app, online communities, and the sending of newsletters. Such data will be processed for a period not exceeding 12 months from their collection, unless the interested party expresses their consent to the processing of the same as long as the membership relationship remains in force.
Some personal data is processed following the use of video surveillance systems, located at the "reception" area, in the changing rooms, and at the wellness area for purposes of public safety, protection and safety of members, public hygiene, suppression of crimes, protection of property and to avoid conduct contrary to the goals indicated in the Association's Bylaws. The processing of the relative personal data occurs according to fairness and for the aforementioned determined, explicit, and legitimate purposes.

The collected images are processed exclusively for the purposes of the processing and any superfluous use is excluded.

In accordance with established provisions, the distance, the width of the viewing angle, and the quality of the tools do not allow for direct and immediate identification of the subjects filmed (only essential images are recorded, limiting the viewing angle of the recordings, avoiding - when not essential - detailed or enlarged images or non-relevant details).

Cameras are not installed in the toilets, nor are surveillance devices for promotional-tourist or advertising purposes through web cams or online-cameras that make the subjects filmed identifiable.

The following simplified model of "minimum" information is posted indicating the location of the cameras.

More in detail, the information support:

(i) is located before the range of action of the camera and in its immediate vicinity, not necessarily in contact with the systems;

(ii) has a format and positioning such as to be clearly visible in all lighting conditions, even when the video surveillance system is possibly active during night hours;

(iii) incorporates a symbol or a stylization of explicit and immediate understanding, possibly diversified in order to inform if the images are only viewed or also recorded.

The images are recorded and are viewed exclusively by natural persons, in charge of processing or authorized to use the systems and kept exclusively by the personnel in charge of surveillance for the only time necessary to achieve the purpose pursued and in any case no later than 24 hours from the collection of the images, except for special needs of further preservation in relation to holidays or office closures, as well as in the event that a specific investigative request and that of the Judicial Authority must be met.

The data is protected by suitable and preventive security measures, minimizing the risks of destruction, loss, even accidental, unauthorized access, unauthorized processing and non-compliant with the purposes of collection, also in relation to the transmission of images.

The data will be processed in written form and/or on magnetic, electronic or telematic support.
Without prejudice to communications and disclosures carried out in execution of legal obligations, common data may be communicated to: factoring companies; credit institutions; debt collection companies; credit insurance companies; professionals and consultants.
Exclusively for the purpose of better management of the individual membership relationship, for the same purposes, the data may come to the knowledge of specific appointees and/or managers expressly appointed and instructed.
Regarding the data itself, the interested party, or a person delegated in writing, can exercise the following rights:

- the right of access, expressly provided for by art. 15 of Regulation 679/2016, namely the possibility to access all information of a personal nature concerning them;

- the right of rectification, expressly provided for by art. 16 of Regulation 679/2016, namely the possibility to obtain the updating of inaccurate personal data concerning them without undue delay;

- the right to be forgotten, expressly provided for by art. 17 of Regulation 679/2016, consisting of the right to the cancellation of personal data concerning the interested party;

- the right to restriction of processing when one of the hypotheses provided for by art. 18 of Regulation 679/2016 occurs;

- the right to data portability, expressly provided for by art. 20 of Regulation 679/2016, namely the right to obtain their data in an interoperable format and/or the right to have their personal data transmitted to another data controller without hindrance from this Company;

- the right to withdraw consent at any time, expressly provided for by art. 7 of Regulation 679/2016;

- the right to object at any time to the processing for sending commercial communications and advertising or direct sales material, pursuant to art. 130, paragraph 4 of Legislative Decree 196/2003 and art. 9 of Legislative Decree 9.4.2003 n. 70, by sending an email to the address privacymi@lamaisondelamour.com expressly requesting the removal of their names from the advertising list;

- the right to obtain human intervention in the performance of automated profiling activities and to contest the choices made by the Controller in the performance of automated profiling activities;

- the right to lodge a complaint with the Data Protection Authority in case of violation in the processing of data pursuant to art. 77 of Regulation 679/2016;

- the right to seek a judicial remedy in case of unlawful processing of data, including against the acts taken by the Authority pursuant to art. 78 of Regulation 679/2016.

The Data Controller is DAVITA ASSOCIAZIONE CULTURALE (Tax Code 97917480150), with registered office in Milan (MI), Via Vitruvio n.43, operational headquarters in Gessate (MI), Via Monza n.107/32.

The Data Protection Officer (DPO) can be contacted at the telephone number 0245076772 and at the email address dpo@cslegal.it to obtain any information regarding the processing of personal data.

CARD NUMBER ISSUED:

The Interested Party declares to have received complete information pursuant to art. 12 et seq. of Regulation 679/2016, and expresses consent to the processing and communication of their personal data from the cited regulation within the limits, for the purposes and for the duration specified in the information in order to execute the existing membership relationship.

DATE: 4 April 2026

YES, I GIVE CONSENT

The Interested Party declares to have received complete information pursuant to art. 12 et seq. of EU Regulation/679/2016 and expresses consent to the processing and communication of their personal data for advertising purposes specified in the information in execution of the existing membership relationship for a period not exceeding 12 months from the collection of the same or as long as the membership relationship remains in force.

DATE: 4 April 2026

YES. I GIVE CONSENT

NO. I DO NOT GIVE CONSENT

The Interested Party declares to have received complete information pursuant to art. 12 et seq. of EU Regulation/679/2016 and expresses consent to the processing of their personal data following the use of video surveillance systems in the terms specified in the information connected to the existing membership relationship.

DATE: 4 April 2026

YES, I GIVE CONSENT

The undersigned hereby declares to affix this signature electronically via tablet, aware that it holds the status of an electronic signature pursuant to EU Regulation No. 910/2014 (eIDAS), following personal identification, and that the document thus signed will be stored by the Association in a non-modifiable electronic format.

ASSOCIATE'S SIGNATURE

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Your legal name

Email (non obbligatoria)

Signed by Davita Associazione Culturale
Signed On: 25 March 2026

Timestamp

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29 January 2026 13:30 CEST

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29 January 2026 13:33 CEST

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