I ____________________________________ hereby consent to have a sample of my urine
collected and tested for the presence of banned substances in accordance with the
provisions of the United States All-Round Weightlifting Association (USAWA) Drug
Testing Program.

I understand that a collection crewmember of the same gender will moniter the
funishing of the specimen by observation in order to assure the integrity of the 
specimen.

I understand that failure to appear for drug testing at the designated time will 
consitute withdrawal of my consent to be tested and will result in disqualification 
from the event and/or permanent suspension from USAWA.

I understand that selection for testing may be based on random selection, 
reasonable suspicion or position of finish in an event.  I further understand that
I may be selected for testing for no reason at all and on more than one occasion
during a competition.

I understand that any urine samples will be sent only to a certified laboratory for 
actual testing, and that the samples will be coded to provide confidentiality.

I hereby authorize the release of such testing results to the Chairperson of the
Medical Committee or his/her designee.  I further understand that these results
will also be made available to me.

I understand that I am free to withdraw this consent for banned substances testing.
However, I also understand that should I refuse to submit to testing at the time
requested, I will not be permitted to participate in future competitions sponsored
by the USAWA.

If I am under the age of 21, and I test positive, I hereby authorize the release 
of the results of such testing to my parent(s), legal guardian or spouse.

I hereby release the United States All-Round Weightlifting Association, its 
Trustees, officers, employees and agents from legal responsibility or liability
for the release of such information and records as authorized by this form.

_________________________________________            _____________________________
       Participant Signature                                  Date

_________________________________________            _____________________________
 Signature of Parent or Legal Guardian                        Date
   (If Participant is a Minor)

                                                RETURN TO:

                                                    Bill Clark
                                                    3906 Grace Ellen Dr.
                                                    Columbia, MO  65202-1796

The National Center for Drug Free Sports, Inc.
2002