ࡱ>    !"#$%&'()*+,-./0123Root EntryZ O2]J84@CONTENTS bCompObjVSPELLINGhy, award, record or placing should the offence be deemed serious enough, according to ADFPF & WDFPF rules, to warrant such an action. I understand and agree that if I fail to pass the drug testing process, my name will appear on a published list of suspended members. If determined that I failed the drug test, I agree to waive any claim for which legal relief is available. I also agree to waive any claim that might arise under state, national or international law for defamation, slander, libel, or any other claim for which legal relief is available. I realize that if I do not attend the 2012 ADFPF Chicagoland Raw Bench Press and Deadlift Championships for any reason, I will forfeit all fees which cannot be exchanged. I agree to pay any attorney fees and litigation expenses incurred by any person real or corporate, whom I may sue in an effort to challenge this release from liability. I understand that my agreement to pay attorney fees and litigation expenses is the SINE QUA NON for acceptance of my entry in this championship. If any provision of this Release From Liability shall be deemed by a court of competent jurisdiction to be invalid, the remainder of this Release from Liability shall remain in full force and effect. I also certify with my signature that this release/agreement cannot be modified orally. All ADFPF athletes, coaches, officials, referees, and platform personnel acknowledge and understand that they represent, and are seen as representing, the ADFPF, the WDFPF, their team, their state, their country, and the sport of powerlifting when training for, traveling to and from, and taking part in a competition or related activities. Accordingly, they agree that they will act responsibly and respectfully at all times and will obey all local laws,CHNKWKS bTEXTTEXT:&FDPPFDPP*FDPCFDPC,FDPCFDPC.FDPCFDPC0FDPCFDPC2STSHSTSH4STSHSTSH42SYIDSYIDP4SGP SGP d4INK INK h4BTEPPLC l4BTECPLC 40FONTFONT4fSTRSPLC 5:PRNTWNPRT59+FRAMFRAM`TITLTITLaHDOP DOP ]a(RELEASE FROM LIABILITY and CONSENT TO DRUG TEST: NOTE: (Please read this release very carefully as when you sign it, you will be giving up important legal rights.) In consideration of the acceptance of my entry form for the 2012 ADFPF Chicagoland Raw Bench Press and Deadlift Championships,, I intend to be legally bound for not only myself, but also my heirs, executors and my administrators. Additionally, I understand that Powerlifting is an inherently hazardous activity and that participation in this sport exposes me to the risk of injury or death. I further understand that the A.D.F.P.F. will NOT reimburse me for, or coverage of any medical expenses incurred by me as a result of injuries that I might sustain, training for, traveling to or from, or participating in the competition. In signing this release from liability, I waive and release anyone connected with this competition; i.e. the meet directors, the ADFPF, competition sponsors and staff, the World Drug-Free Powerlifting Federation (WDFPF), the contest facilities or any persons associated with the competition from any and all liability, including any results of negligence which may arise from this competition. Moreover, I agree that any testing method selected by A.D.F.P.F. recognized testing officers may be applied to detect the presence of drugs, as listed on the World Anti-Doping Agency (WADA) banned substances list SHALL BE CONCLUSIVE. I agree to co-operate fully with all required IOC sampling and testing procedures. This includes any testing procedures that may be considered necessary prior to or after this event. Should I fail to pass the drug testing procedures, I agree to forfeit any trophy, award, record or placing which I won during the competition and I also forfeit any previous trop even if they are different from the laws they are subject to at home. They will also exhibit outstanding sportsmanship in keeping with the values, ideals, and spirit of drug free sport and will encourage others to do the same. It is understood that failure to adhere to these standards of conduct may result in discipline by the ADFPF and/or WDFPF, up to and including a suspension or ban from taking part in ADFPF and/or WDFPF events. Please PRINT ATHLETES FULL NAME:________________________________________________________. Signature of athlete: _____________________________________. Date: _____________ If the lifter is under 18 years of age the following is required: Signature of parent/guardian: . Date: _____________ Certification: 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) as part of my training during the past sixty months (five years), nor have I used or will I use prescription diuretics or psychomotor stimulants during the seven days prior to this competition. Signature of athlete: ___________________________________. Date: _______________. provision of this Release From Liability shall be deemed by a court of competent jurisdiction to be invalid, the remainder of this Release from Liability shall remain in full force and effect. I also certify with my signaturebJ@^pn!p!$"&""x#z#$B&''*(,(.(0(2(4(6(8(:((2"'( ) @S  ""m " "m"m^blp  "" $h (08@HPX`hpx."  "" $h (08@HPX`hpx."4 "PS" $ 08."4 "|" $ 08." pJH>,pl!""|||N|4 "" $ 08."z "" $h (08@HPX`hpx "" $h (08@HPX`hpx." "" $h (08@HPX`hpx." ""#.$X$$$$'((||||z "" $h (08@HPX`hpx "" $h (08@HPX`hpx." "" $h (08@HPX`hpx."((*(.(0(4(:(~L " . "PS" $ 08. "" $ 082 "" $  08 "" $h (08@HPX`hpx." 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