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    Certificado Medico FIBA

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    Orlando Varela Diaz
    The document outlines the requirements and risks for FIBA referees to undertake a mandatory physical fitness test. It notes that physical changes could occur during the test like abnormal blood pressure or heart issues. Referees must provide a valid medical certificate and are advised to stop the test if feeling unwell. Upon completion, referees consent to participate at their own risk and FIBA is not liable for any injuries.

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    Certificado Medico FIBA

    Uploaded by

    Orlando Varela Diaz
    75 views1 page
    The document outlines the requirements and risks for FIBA referees to undertake a mandatory physical fitness test. It notes that physical changes could occur during the test like abnormal blood pressure or heart issues. Referees must provide a valid medical certificate and are advised to stop the test if feeling unwell. Upon completion, referees consent to participate at their own risk and FIBA is not liable for any injuries.

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    Certificado Medico FIBA

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    The document outlines the requirements and risks for FIBA referees to undertake a mandatory physical fitness test. It notes that physical changes could occur during the test like abnormal blood pressure or heart issues. Referees must provide a valid medical certificate and are advised to stop the test if feeling unwell. Upon completion, referees consent to participate at their own risk and FIBA is not liable for any injuries.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    75 views1 page

    Certificado Medico FIBA

    Uploaded by

    Orlando Varela Diaz
    The document outlines the requirements and risks for FIBA referees to undertake a mandatory physical fitness test. It notes that physical changes could occur during the test like abnormal blood pressure or heart issues. Referees must provide a valid medical certificate and are advised to stop the test if feeling unwell. Upon completion, referees consent to participate at their own risk and FIBA is not liable for any injuries.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    FIBA REFEREES' FITNESS TEST / CONSENT FORM

    The Internal Regulations of FIBA require all international referees to undertake a physical
    fitness test. This test is conducted indoors under the supervision of FIBA/FIBA Zone Staff.

    The possibility of physical changes occurring during a test of this nature cannot be
    excluded. These include abnormal blood pressure, fainting, erratic heartbeat and, in extreme
    cases, heart attack.

    Every effort will be made to minimise such occurrences by requesting all participants to
    present the valid Medical Certificate, signed by a medical doctor, prior to the test.

    Note: You should stop the test IMMEDIATELY if you feel tired or ill at any time.

    All referees who take the test will be provided with the details of the test and, upon request,
    can be given advice on training programmes by FIBA Referee Department.

    CONSENT

    I have read the contents of this form, the completed Medical Certificate, and the
    test procedures. I understand the requirements (in particular physical) of the test and I
    voluntarily consent to participate at my own risk. I hereby agree to hold FIBA/FIBA
    Zones harmless from/against any and all liabilities, damages, claims, costs and expenses,
    including (without limitation) reasonable legal fees, that may arise in connection with my
    participation in the FIBA Referees’ Fitness Test.

    By participating in the FIBA Referees’ Fitness Test, I am deemed by FIBA/FIBA Zones to


    have secured all necessary insurance coverage to protect me against any and all risks
    associated to my participation to the FIBA Referees’ Fitness Test (in particular health,
    accident and civil liabilityinsurances).

    Date of Fitness Test Day: 1 Month: 3 Year: 2 0 1 7

    Place of Fitness Test Nacional de Ingenieros Coliseum

    Name of Referee / Country ORLANDO JOSÉ VARELA DÍAZ/HONDURAS

    Date and Place 01/03/2017, Tegucigalpa

    Signature of Referee

    Note: In case of discrepancy between the three languages: English, Spanish and French, on the meaning
    or interpretation of a word or phrase, the English text prevails.

    FIBA Referees Fitness Test_Consent Form_2014.docx


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