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                                    MEDICAL CERTIFICATE
I, Medical Doctor __________________________________________, hereby
(Doctor’s name, last name and title)
certify that ______________________________________________, triathlete,
(Athlete’s name, last name)
             is in good health and has no clear or in any way known contraindications to me 
            due to which I would not recommend him/her to participate or object to his/her 
            participation in the Double Decatriathlon 2010 event with a total distances of 76 km swimming,   
           3,600 km cycling, and 844 km running which has to be covered within a limit time of 28 
           days.
Date __________________ Signature and Stamp________________________
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