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MEDICAL CERTIFICATE
I, Medical Doctor __________________________________________, hereby
(Doctors name, last name and title)
certify that ______________________________________________, triathlete,
(Athletes 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 Deca Iron 2009 event with a total distances of 38 km swimming, 1,800 km cycling, and 422
km running which has to be covered within a limit time of 10 days, should be an Ironman per
day
Date __________________ Signature and Stamp________________________
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