Medical Policy


Medical Policy for Ultra-trail Cape Town


At Ultra-trail Cape Town the health and wellbeing of the runner are paramount, every precaution is taken to ensure the best available medical facilities, response teams and race doctors are present ensuring safe passage for every runner.  Cooperation between runners and the medical teams is critical to ensuring the health of every runner.


Runners are advised to be forthright with symptoms and not to hide these from medical professionals who are there to help them.  Every athlete is at risk if they do not maintain their health and they risk compromising the entire team and other runners by starting an event or race if not in optimal condition.


To maintain the spirit and authenticity of our event we have led preventative actions concerning health matters which reassures both the UTCT team and the runners that our races are run fairly.  To ensure this we ask for the runners’ cooperation and vigilance so that our sport remains clean. In collaboration with Athletes For Transparency and the ITRA, this action is not a substitute for the national and international regulations concerning the anti-doping fight but aims to reinforce the medical surveillance that UTCT wishes for.


By registering for one of the UTCT events, the runner agrees to:


  1. Disclose any information relating to any medication runners may be taking,  

  2. Accept to give all samples requested by UTCT’s Medical Team (costs covered by the organisation). Analysis results are then accessible via their ITRA runners’ health page;

  3. Answer any calls from the Race Medical Team which may be sent to them, based on the medical information concerning them so as to discuss their ability to be involved in the race.


UTCT has always advocated fair play and a drug-free sport, WADA and SAIDS are present and athletes need to be on call should a test be requested either before and/or after the event.


Ultra-trail Cape Town subscribes to the ITRA health policy:


The term “health policy” refers to all actions implemented by ITRA to protect runners’ health and to contribute to doping-free sport.


ITRA health policy is part of its general mission of developing and promoting trail-running. It aims to improve the quality of organisations and the safety of participants, but also to promote a discipline that respects the spirit and values of sport as formalised in the ITRA ethics charter.


ITRA health policy is based on a belief: runners' health is everyone’s business – runners and their entourage, race organisers and sports brands.


ITRA health policy is divided into 4 main strategic principles:


  • Education

  • Safety

  • Research

  • QUARTZ program



ITRA conducts and coordinates prevention and awareness actions directly with runners or in partnership with race organisers. These actions aim to improve runners’ safety, to prevent injuries and pathologies inherent to the practice of trail-running, as well as the health risks caused by the use of self-medication or doping practices. These actions include the diffusion of knowledge from applied medical research to the practice of trail-running.



In order to improve organisations’ quality and participants’ safety, ITRA implements support actions for the race organisers. The latter have the obligation to set up mechanisms to ensure the safety and security of all stakeholders.


To this end, ITRA has defined and formalised guidelines outlining all accident prevention actions, organisational principles including transport and information systems, as well as for the rescue part, the description of human measures and necessary material to assist people in distress (See the ITRA's security guidelines).



As part of its health policy, ITRA promotes the diffusion of scientific and medical knowledge related to the practice of endurance sports and in particular trail-running.  In this context, ITRA is working in partnership with the Ultra Sports Science foundation whose mission is the enhancement and broadcast of scientific and medical knowledge related to ultra-endurance sports to improve the practitioners’ health and safety.


Quartz Programme:

QUARTZ is a programme designed to protect runners’ health and to contribute to doping-free sport.  A unique programme for monitoring athletes’ health all year round, it can detect both possible pathologies or abnormal profiles in relation to doping.


QUARTZ programme is based on the athlete volunteering and is for all (both elite and regular runners) and for event organisers.  It consists of 3 modules:


  • QUARTZ Elite

  • QUARTZ Regular

  • QUARTZ Event


QUARTZ programme is technically implemented by the association Athletes For Transparency whose expertise is recognised in the field of health and anti-doping. AFT collaborates in an international framework with all the institutional players in the anti-doping fight.


What is QUARTZ programme? Consult our page dedicated to QUARTZ program.

Visit the website:


ITRA initiates and coordinates the health policy operated by two other non-profit organisations:


  • The association Athletes For Transparency (AFT) that provides technical expertise and implements QUARTZ programme.

  • The endowment fund Ultra Sports Science (USS) that finances and implements research, and spread scientific knowledge.


Entry Deferral at Ultra-trail Cape Town:


In the case of osteoarticular or non-chronic muscular injuries, sustained after registration and not completely curable before the day of the race, the organisation recommends that an injured runner does not, unnecessarily, put themselves in danger, but cancels their registration and requests an adjournment for their race to a later date.


This request must be made by, at the latest, 20 October and be accompanied by a full medical report.  The requests are treated, at the latest, by 1 November by a Medical Committee who are the only judges and their decision is final.  In the case of a favourable result, the runner benefits from priority registration for a future edition of the same race. Nothing after 1 November will be accepted as entries are closed.


Indemnity & Waivers

Athlete Acknowledgment:




In consideration of Summit Events Pty Ltd (the “Event Organisers”) accepting my participation to Ultra-trail Cape Town to be held from 29 November to 02 December 2018 (the “Event”), I agree to this release of claims, waiver of liability and assumption of risk.


I acknowledge that participating in the Event is a dangerous activity and that by such participation I am exposed to certain risks. I acknowledge that the enjoyment of trail-running is derived in part from the inherent risks and exertion beyond the accepted safety of life at home or at work and that these inherent risks contribute to such enjoyment and is a reason for my participation in the Event.

I have read and understood the rules and regulations relating to the Event:


  • I also agree that in the event I am injured or my property is damaged I will bring no claim, legal or otherwise, against the Event Organisers in respect to that injury or damage.

  • I agree to Summit Events entering my personal details on the entry form into a database which will be used for the administration of the Event and which may be used for future marketing and promotion of Summit Events.

  • I agree to allow my name, results, photographs, videos, multimedia or film likeness to be used for any legitimate purpose by Summit Events, the sponsors, or assigns without payment or compensation.

  • I agree to abide by the Event rules, carry all mandatory gear at all times and follow the directions of all Event officials. Failing to do so can result in time penalties or disqualification.

  • I acknowledge that the Event Organiser may change the advertised course without notice if the Event Organisers deem this necessary.  I also acknowledge that the Event Organiser may cancel the Event due to weather conditions, safety considerations, terrorism or ‘acts of god’ and that in such circumstances my entry fee will be non-refundable.

  • I assume full and complete responsibility for any injury or accident, which may occur while I am travelling to or from the event, during the event, or while I am on the premises of the event and the race route. I also am aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, the effect of weather, traffic, and conditions of the road and terrain.


I agree to release, indemnify and hold harmless the Event Organisers, its officers, employees, agents, volunteers, contractors, public bodies, landholders and sponsors, from and against any and all claims, demands, right or cause of action, suits, expenses, costs and proceedings of any nature whatsoever which may be made by me or on my behalf or by other parties for or in respect of or arising out of any injury, loss, damage or death caused to me or my property as a result of my entry or participation in the Event whether by negligence, breach of contract or in any way whatsoever.

Medical Waiver:


I declare, as a condition of entry to the Event, that I will be sufficiently trained for this Event and that I am not aware of any illness, injury or any other physical disability which may cause me injury or death whilst participating in the Event. I acknowledge and understand that whilst participating in the Event:


  • I may be injured, physically or mentally, or may die from various causes including, but not limited to, over exertion, dehydration, cardiac arrest, slips, trips or falls, accidents with other participants, spectators and road users, or accidents caused by my own actions.

  • I may be in a remote or isolated location where access to medical support may be limited and take significant time to reach me;

  • There may be no or inadequate facilities for treatment or transport of me if I am injured;

  • I assume the risk and responsibility for any injury, death or property damage resulting from my participation in the Event.

  • I agree that if I am injured or require medical assistance, the Event Organisers can, at my cost, arrange  medical treatment and emergency evacuation as deemed necessary. I agree that I am responsible for my own medical and ambulance insurance cover.


I will declare the following medical information to the Event Organisers during registration in the medical space:


  • any medical history and/or pathology in particular those which may increase risk during the sport.

  • the regular use of treatments and medicines during the 15 days prior to the start of the race.


I accept that I may be asked to obtain a Medical Certificate from a specialist clearing myself specifically for the Event, and that further medical evaluation by the Event Medical team may be necessary. I accept that a negative decision to partake in the event by the Event Medical Team is final. The medical information declared in the health section is accessible only to the Medical and Event Organisers.

In the event that I become aware of any medical condition or impairment, or am otherwise sick or injured prior to or during the Event, I will withdraw from the Event.


I hereby provide informed consent that my medical, training, race performance, and injury information may be used by Ultra-trail Cape Town and their nominated research partners for research purposes only.  I further understand and acknowledge that all analysed, researched or published information will remain anonymous, and will be treated and handled with the utmost confidentiality.


I confirm that I understand the importance and the meaning of this liability disclaimer, the waiver of claims and indemnity and, that by agreeing hereto, I am waiving substantial legal rights (on my own behalf and on behalf of my dependants).