Ultra Skyrunning Madeira 2022             Questionário Médico / Medical Questionnaire              
Os dados deste formulário são confidenciais e apenas serão partilhados com a equipa médica responsável pela segurança do evento USM. / The data resulting from this questionnaire is confidential and will only be shared with the medical team that will assist athletes on the race day.
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Email *
IDENTIFICAÇÃO /IDENTIFICATION
Nome/ Name: *
N.º Identificação (BI/CC/Passaporte) / Identification Card number/ Passport *
Prova  / Race *
Required
Sem título
Realizou exame médico desportivo nos últimos 12 meses? /  Have you been submited to sports medical examination in the past 12 months? *
Required
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