Ecotrail Funchal - Madeira 2018
Registo de Antecedentes Clínicos / Medical Questionnaire
PT / Formulário para registo dos antecedentes clínicos dos atletas participantes no Ecotrail Funchal Madeira 2018
EN / Question form to register health background from the athletes attending to Ecotrail Funchal Madeira 2018
Nome Completo / Full Name *
Your answer
Cartão Cidadão / Passport Number *
Your answer
Contacto telefónico / Phone Number *
Your answer
Correio electrónico / Email *
Your answer
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