Domanda di Ammissione - Maison de l amour

ADMISSION MODULE

Data provided by the compiler pursuant to articles 1, 2 and 3 of Law 15 May 1997 n127 (Bassanini Law) and Presidential Decree 20/10/98 n.403 (Implementation Regulation)

To the Board of Directors

DAVITA ASSOCIAZIONE CULTURALE Via Monza 107/32 – GESSATE (MI)

The undersigned (hereinafter also simply "Applicant" or "Data Subject")

Surname

First Name

Date of Birth

City of Birth

Province

Tax Code

City of Residence

Province

Address (street/square)

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, committing to strictly adhere to and respect the social statute *1, the regulations and all resolutions of the social bodies, committing to pay the social fee determined annually by the Board of Directors, which is intended for one year (365 days) starting from the issuance of the social card and is automatically renewed for the following year, in the absence of withdrawal expressed at least 30 days before the expiry.

The Applicant recognizes as due the membership fee, as well as any additional membership fees determined by the Association, the amount of which, for the year 2026 with formal resolution of 21/01/2026, is calculated for the purpose of covering the increased operating costs incurred by the Association to improve the quality of well-being of the members within the social sphere. The payment of the annual membership fee in case of renewal must be made within 30 days or by choosing the installment payment which, if not completed within the year, will result in the loss of member status.

For privacy reasons, the Applicant declares to elect their domicile at the premises of the Association in Gessate, and here commits to go every 30 days in order to collect any communications addressed to them, which will be left here in storage 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 statute, the regulations, and the previous resolutions of the Association, viewed at the premises of the Association, to have understood them and to accept them unconditionally in every point, committing to respect them and to do what is reported in them.

Declares to share the spirit and purposes of the Association, to want to contribute actively to the realization of the social goals and to be aware of the fact that inside the premises there could be a request for involvement in activities directly or indirectly characterized by a sexual background, also by virtue of the purposes and object of the Association.

The Applicant declares to be aware of the fact that in the 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, they declare to be aware that the conduct of those who perform obscene acts in a public place or one open or exposed to the public is punished by law with an administrative fine from 5,000 euros to 30,000 euros (art. 527 c.p.) 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, declares to be aware of the circumstance that inside the premises any 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; declares to be aware of the fact that it is also prohibited to exchange personal data for the purpose of evading the statutory rules and internal regulations and it is also prohibited to record, reproduce and disseminate images and/or videos recorded inside the premises and in violation of the rules dictated to protect the privacy of each Associate.

The Applicant declares to be aware of the fact 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 premises, as well as suspension and/or definitive exclusion from the Association. The Applicant declares to have previously viewed the premises and to consider them suitable, waiving any dispute in this regard and to be aware of the fact that the use of the structures and equipment present inside the Association and the performance of activities related to them may require peculiar physical conditions, a good state of psycho-physical health and motor autonomy.

The Applicant acknowledges the fact that food and beverages are also served inside the premises 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 there are no specific rules/regulations in the structure to avoid contamination of food and beverages intended for members suffering from celiac disease, allergy/intolerance of any kind, that specific products for celiacs and for food intolerances and allergies are not available at the structure and that on site the staff will not be required to satisfy any particular request that the member themselves will expose during the stay. In the event that the Applicant has potential celiac disease, allergies or intolerances, they commit to avoid the intake of any kind of food or drink, declaring to be aware of the fact that the Association has no possibility of avoiding contamination, and waiving any kind of request or compensation in this regard.

The Applicant waives right now to object to anything with reference to the services described above, exempting the Association from any responsibility in this regard, also with reference to any potential inconveniences that could arise during the stay, declaring that said exemption was the subject of specific conversation/negotiation. In relation to the tools and equipment present at the Association's premises, the Applicant commits in their use to adhere to the rules of good manners, morality and correctness in interpersonal relationships, to use them with maximum prudence and diligence, in accordance with the purposes for which they are intended and according to a criterion of "normal use" in a manner however commensurate with their abilities. Any responsibility regarding the use of the same will in any case remain with the Applicant, who holds the Association harmless from any responsibility 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, its outcome and the relative consequences that could 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 – sadomasochistic area or more generally machinery that stimulates cardiac activity or other, recognizing from now on the lack of passive legitimacy for themselves and for their successors and assigns 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 rules; in this regard, they declare themselves solely responsible for such violations, holding and keeping the Association and/or its bodies harmless in relation to any kind of burden, cost or expense, including those related to legal assistance, which could derive from it, and waiving every right of action or claim against the Association and/or its bodies.

Date of request: 3 February 2026

*1 EXCERPT FROM THE STATUTE

ART. 7 – THE ASSEMBLY

The assembly is represented by all the members. The assembly, both ordinary and extraordinary, is convened by the president, on 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 social headquarters 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 the issues included in the agenda; to approve the budget and the final account and the mission account; to approve the internal regulations of the association where the board of directors decides to issue them; to appoint the members of the board of directors; to deliberate on the amendments to the statute; to establish the annual contribution fees and the payment methods; 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 purposes

SPACE RESERVED FOR THE ASSOCIATION

The board of directors of the association, in the persons of Mr/Ms. Tania SIMONI – president, Ottorino SIMONI – vice president, Elena BALDO – secretary, specifically met today, seen art.5 of the current statute, at the outcome of the evaluation procedure of this request, with the unanimity of the appearing parties, resolves for its acceptance and releases to the interested party, as holder, the membership card which involves their registration in the membership book of the association, subject to payment of the social fee established by the same board

DATE: 3 February 2026

The Secretary
Elena Baldo

The President of the association
Tania Simoni

INFORMED CONSENT FOR ASSOCIATES

The Association DAVITA ASSOCIAZIONE CULTURALE (C.F. 97917480150), with registered office in Milan Via Vitruvio, n. 43 (“Data Controller”) informs that, for the establishment and execution of ongoing 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, information is given of the following.

Some personal data are processed for the purposes of managing the relative membership contract (provision of requested services and registration of entries and exits via membership card), the connected accounting and the consequent fulfillments of legal and contractual obligations. For this purpose, some of these data are qualifiable as "special" pursuant to art. 9 of EU Regulation/679/2016, as they pertain 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 them or to subsequent processing may determine the impossibility of proceeding with the contractual relationships themselves.

These data will be processed for the entire duration of the established membership relationships, and also subsequently, for the fulfillment of all legal obligations 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 are processed for the purpose of carrying out advertising activities, also through profiling, through the Association's online site, Facebook and other social networks, the Association's app, online communities and the sending of newsletters. These data will be processed for a period not exceeding 12 months from the collection of the same, unless the interested party expresses their consent to the processing of the same as long as the membership relationship remains in place.
Some personal data are 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 associates, public hygiene, suppression of crimes, protection of property and to avoid conduct contrary to the purposes indicated in the Statute of the Association. The processing of the relative personal data takes place according to correctness 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 what has been established, the distance, the width of the visual angle and the quality of the tools do not allow the direct and immediate identification of the subjects filmed (only essential images are recorded, limiting the visual angle of the shots, avoiding - when not essential - detailed, enlarged images or irrelevant details).

No cameras are installed in the toilets nor surveillance equipment for promotional-tourist or advertising purposes through web cams or online-cameras that make the subjects filmed identifiable.

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

More in detail, the support with the information notice:

(i) is placed 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 every environmental lighting condition, even when the video surveillance system is possibly active at night;

(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 physical persons, in charge of the processing or authorized to use the systems and kept exclusively by the surveillance staff for the time necessary to achieve the pursued purpose and in any case no later than 24 hours from the collection of the images, except for special needs for further conservation in relation to holidays or office closures, as well as in the event that a specific investigative request and the Judicial Authority must be adhered to.

The data are 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.
For the sole purposes of the best management of the single membership relationship, for the same purposes, the data may come to the knowledge of specific appointees and/or managers expressly appointed and instructed.
With regard to the data themselves, the interested party, or a subject delegated in writing, can exercise the following rights:

- the right of access, expressly provided for by art. 15 of Regulation 679/2016, i.e. the possibility of accessing all personal information concerning them;

- the right of rectification, expressly provided for by art. 16 of Regulation 679/2016, i.e. the possibility of obtaining the update of inaccurate personal data concerning them without justified delay;

- the right to be forgotten, expressly provided for by art. 17 of Regulation 679/2016, consisting in the right to cancellation of personal data concerning the direct 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, i.e. 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 impediments by 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, sending an email to the address below privacymi@lamaisondelamour.com expressly requesting the cancellation 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 Guarantor in case of violation in the processing of data pursuant to art. 77 of Regulation 679/2016;

- the right to propose a judicial appeal in case of unlawful processing of data, also against the acts assumed by the Guarantor pursuant to art. 78 of Regulation 679/2016.

Data Controller of personal data is DAVITA ASSOCIAZIONE CULTURALE (C.F. 97917480150), with registered office in Milan (MI), Via Vitruvio n.43.

The Personal 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 Data Subject 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 by the cited regulation within the limits, for the purposes and for the duration specified in the information notice in order to carry out the existing membership relationship.

DATE: 3 February 2026

YES, I GIVE CONSENT

The Data Subject 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 the advertising purposes specified in the information notice 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 place.

DATE: 3 February 2026

YES. I GIVE CONSENT

NO. I DO NOT GIVE CONSENT

The Data Subject 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 in view of the use of video surveillance systems within the terms specified in the information notice connected to the existing membership relationship.

DATE: 3 February 2026

YES, I GIVE CONSENT

ASSOCIATE'S SIGNATURE

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Signed by Davita Associazione Culturale
Signed On: 29 January 2026

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29 January 2026 13:30 CET

ADMISSION MODULE Uploaded by Davita Associazione Culturale - ammissione@lamaisondelamour.com IP 93.66.4.147

29 January 2026 13:33 CET

Document owner webmaster@exileart.it has handed over this document to ammissione@lamaisondelamour.com 2026-01-29 13:33:59 - 93.66.4.147