Αγώνας Δρόμου - Δελφοί - Ολυμπία - 255 χιλ

Ιατρική βεβαίωση

Medical Certificate

The   undersigned   M.D. ...........................................................................

Address ...................................................................................

City .........................................................................................

Telephone ..........................................

Certifies that the runner Mr./Mrs ............................................

Date of birth ……./……/19……

Has undergone a medical examination permitting him/her to participate in
RiOlympiA  ULTRA RACE – 144kms - 32h  and he is not suffering from any illness
that might cause a prejudice to his/her health while competing.

 

 

                                                 Signature and seal

 

 

The medical certificate must not be established prior to 19/2/2019

 

 

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