| T.H.S.W.P.A. | |
| Drug Testing Affidavit 2012 | |
| It's the purpose and Goal of the Texas High School Powerlifting Association to maintain a | |
| drug-free and wholesome environment for the young athletes of Texas, and in particular, | |
| those involved in powerlifting. Failure to present this form with the proper signatures, or | |
| failure to submit to testing as deemed necessary by the T.H.S.W.P.A. will automatically mean | |
| forfeiture of the privilege to compete in the Regional and or State meets. | |
| I, the undersigned competitor, do hereby solemnly swear that I am not presently, nor have | |
| I been, using any form of anabolic steroid, or any other such substance, in an effort to | |
| enhance my athletic abilities and performance. I furthermore agree to be tested for the use | |
| of such substances by a urine test, to be administered by the T.H.S.W.P.A. at the state meet. | |
| Signature of Athlete________________________________________________________________ | |
| Date_____________________________________________________________________________ | |
| Signature of Parent or Gardian_______________________________________________________ | |
| Date_____________________________________________________________________________ | |
| Signature of Coach_________________________________________________________________ | |
| Date_____________________________________________________________________________ | |