2011 ADAU RAW POWER
"POWER DAY CLASSIC" BENCH PRESS/DEADLIFT CHAMPIONSHIPS

Name............................................................................................................. Address:............................................................................................ City..........................................................State......................Zip......................... Phone........................................Weight Class...............
E-mail........................................ Male..............Female.................Age.................Date of Birth....................
Enter me in the following contest(s):
Open Bench Press...............@ $40 Open Deadlift.................@$40
Age Bench Press...............@ $40 Age Deadlift.........@$40.
Note: These divisions and contests are separate and cost $40.00 each
1 = $40....2 = $80....3 = $120....4 = $160
Note: Late entries at $50.00 each after May 1st

Sign and return pages 3 and 4 of this application, with check made out to: THE DOWNTOWN WEIGHTLIFTING CLUB, 304 Daisy Street, Clearfield PA 16830, 814-765-3214 for info

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 necessary 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. to be represented by counsel, or by such other representative as I may choose, to have witnesses testify on my behalf, or to be represented by counsel, or by such other representative as I may choose, to have witnesses testify on my behalf.
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..
I also agree that: Powerlifting can be dangerous and I lift at my own risk, WITH NO ONE BEING RESPONSIBLE FOR ANY INJURY THAT I MAY HAVE AS A RESULT OF COMPETING.

..............................................................................................................
signature of athlete and date signed

..............................................................................................................
signature of parent or gaurdian if under 18

PAGE 3