T.H.S.P.A. ELIGIBILITY FORMS
STATE –
REGIONAL MEET
TEXAS HIGH
SCHOOL POWERLIFTING ASSOCIATION
ATHLETIC ELIGIBILITY BLANK
Date ___________20_____
Name
of School _________________________________________
Address________________________________________________
City________________________________
Zip Code___________
Phone
(_____)___________________________________________
I HEREBY CERTIFY THAT THE FOLLOWING LISTED STUDENTS
ARE ELIGIBLE ACCORDING TO THE RULES AS STATED IN THE UNIVERSITY INTERSCHOLASTIC
LEAGE CONSTITUTION AND CONTEST RULES:
1._____________________________________
11._____________________________________
2._____________________________________
12._____________________________________
3._____________________________________
13._____________________________________
4._____________________________________
14._____________________________________
5._____________________________________
15._____________________________________
6._____________________________________
16._____________________________________
7._____________________________________
17._____________________________________
8._____________________________________
18._____________________________________
9._____________________________________
19._____________________________________
10.____________________________________
20._____________________________________
SUPERINTENDENT
OR PRINCIPAL
TEXAS HIGH SCHOOL
POWERLIFTING ASSOCIATION
DRUG TESTING AFFIDAVIT
It
is 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.P.A. will automatically mean forfeiture of the privilege to
compete in the regional or state meet.
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 the use of a urine test, to be administered by the
T.H.S.P.A. at the state meet.
Signature
of competitor______________________________ Date_________________________
Signature
of parent
or
guardian________________________________________Date_________________________
Signature
of coach__________________________________Date_________________________
TEXAS HIGH SCHOOL
POWERLIFTING ASSOCIATION
STATE MEET RELEASE
Name___________________________________________Weight
Class____________________
School__________________________________________City___________________________
Emergency
Phone Number ________________________________________________________
Person
to contact in case of emergency_______________________________________________
I
hereby, for myself, heirs, executors, and administration, waive and release any
and all right and claim for damages I may have against the T.H.S.P.A. and its
directors, meet organizers and sponsors and the state meet site and their
representatives, for any and all injuries which may be suffered by me in the
competition.
Signature
of competitor_____________________________Date__________________________
Signature
of parent
or
guardian_______________________________________Date__________________________