Ultra Race - Delphi - Olympia - 255 kms

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
DOLICHOS ULTRA RACE – 255km - 47h, and is not suffering from any illness
that might cause a prejudice to his/her health while competing.

 

 

                                                 Signature and stamp

 

 

The medical certificate must not be issued prior to 17/7/2021 (2 months before the race)

 

 

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