Drug Testing Consent and Waiver Form
    United States All-Round Weightlifting Association

_________________________________________________________________________________



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 Drug Testing Program.

I understand that a collection crewmember of the same gender will monitor the furnishing 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 constitute withdrawal of my consent to be tested and will result in disqualification from the event and/or permanent suspension from the 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 and the USAWA Officers.  I further understand that these results will 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 sanctioned 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 under the age of 21)

The National Center for Drug Free Sports, Inc. 2002

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