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Fillable Printable Marathon Medical Ceritficate

Fillable Printable Marathon Medical Ceritficate

Marathon Medical Ceritficate

Marathon Medical Ceritficate

Race name:
Race number:
MEDICAL CERTIFICATE
I, the undersigned Dr______________________________, Doctor of Medicine,
Certify that the examination of Mr/Ms__________________________________
Date of birth: ______________________ Age: __________________
reveals no contraindications for participating in running competitions.
Medical certificate issued in (place):___________________________________
Date: ____________________ Doctors sign: _____________________
Doctors Stamp:
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