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
LET’S GO RIO ULTRA RACE – 111km - 16h, and 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 17/7/2021

 

 

 

                                                                        Ημερομηνία..../...../2021

 

 

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