Name.............................................................................................................

Address:............................................................................................

City..........................................................State......................Zip.........................

Home Phone........................................................

Weight Class.......................... Male..............Female.................Age.................Date of Birth....................

E-mail address........................................................................

Enter me in the following contest(s) at $50.00 each:

Open Powerlifting Division:..................... Age Powerlifting Division:........................

Enter me in the Single lift contest(s) at $40.00 each:

Open Squat...............Open Bench Press........Open Deadlift........

Age Squat...............Age Bench Press.........Age Deadlift........

Total submitted for all events:.......................

Athlete's Drug Testing Release Form

In consideration of the acceptance of my entry in this ADAU Powerlifing competition, I agree to any test method deemed appropriate by the ADAU and that the results of said testing method which the meet director and/or sponsors of this meet use to detect the presence of strength inducing drugs and/or controlled/banned substances may be released to any third party (ies) and I generally and specifically waive any right to privacy, if any, related thereto.
My entry into this ADAU event constitutes my consent to the testing procedures; and, if any such results test positive, I understand that I shall be disqualified from the pertinent competition and suspended for a period to be fixed by the ADAU. I understand that I may have a hearing. I understand that I am entitled to be represented by counsel, or by such other representative as I may choose, to have witnesses testify on my behalf, and to submit any and all evidence in my defense, including heresay and documentary evidence so long as it is relative to the issues. I understand that in regard to a National Competition, that I have the rights of appeal. . If the tests results are positive and indicate that I have failed the drug test, i agree to forfeit any trophy or award which I might otherwise have won. I hereby give my word of honor as an athlete that I have not used any strength inducing drugs (i.e., any anabolic steroid, natural hormone or synthetic growth hormone) during the past sixty (60) months, nor have I used any prescription diuretics or psychomotor stimulents during the seven (7) days before this meet.

By signing this form and as a member of the ADAU, I acknowledge and agree to OUT OF MEET DRUG TESTING, 24 hours a day, 365 days a year. Failure to submit to or pass said drug testing will result in a suspension from the ADAU.

I have carefully read all of the above and I fully understand and agree with all of its contents. In acknowledgement thereof, I affix my signature hereon.

Signature of athlete...............................................................................................Date..............

Signature of parent or guardian if athlete under age 18..........................................Date.....................