Medical certificate

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 20/3/2025