You don’t need to upload it unless you are an Italian citizen.
In fact, if you do not live in Italy, the word NOT REQUIRED will appear on your profile. This is because it would be impossible for us to translate certificates from all languages and verify their validity.
In the Liability Disclaimer, you will be asked to declare that a sports doctor has considered you suitable for high-intensity cardiovascular activity.
This Liability Disclaimer will be made available online in your profile from December, after the latest legal updates
For the non-competitive runs, no certificate is required.