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Name (if you know):
Sex:
Usual days and hours:
Age aprox.:
Any special features?
Name:
Phone:
Organization to which belongs (if applicable)
E-mail:
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I understand and agree the Legal Notice
If you know a homeless people and think that we can help you fill out this form
Legal Data provided by you will be included in a file of personal data which is responsible for the ROOTS FOUNDATION. The purpose of creation is the administration of documentation and information regarding the volunteers ARRELS FUNDACIÓ in all its projects. Recipients of information are all on which organized the ARRELS FUNDACIÓ, as well as public and private institutions necessary for carrying out the purposes of ARRELS FUNDACIÓ. About this file, you have rights of consultation, modification and omission that sets the Spanish Organic Law 15/1999 of 13 December. To exercise these rights, you may be directed in writing to: ARRELS FUNDACIÓ C / Riereta, 24 bajos 08001 Barcelona Authorization I hereby authorize the ARRELS FUNDACIÓ concerned for what my personal data in the institution on its services, we are collaborators and institutions, annexes, as well as to perform the same transfer of official appropriate public and private for the realization of their powers in fulfillment of the purposes directly related to the legitimate functions of the assignee (ARRELS FUNDACIÓ), in accordance with the provisions of Law 15/1999 of 13 December.
Male
Female
I don't know
This person is alone or with company? You have animals? A little or much that you see? It has an aggressive?
Description of the person you see on the street
Where do you see this person?
Specific location:
Example: "ATM in the corner of Sepulveda and Urgell Barcelona"
Your data:
Use
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to clarify their position