SCHEDULE 4.

World Rugby Handbook

REGULATION 21 SCHEDULE 4 SCHEDULE 4. ACKNOWLEDGMENT AND AGREEMENT FORM I, ....................................................... of .................................................... Union/Club/Rugby Body hereby acknowledge and agree as follows: 1. I have received and had an opportunity to review the World Rugby other Anti-Doping Rules. 2. I consent and agree to comply with and be bound by all of the provisions of the World Rugby other Anti-Doping Rules, including but not limited to, all amendments to the World Rugby other Anti-Doping Rules and all International Standards incorporated in the World Rugby other Anti- Doping Rules. 3. I acknowledge and agree that the World Rugby other has jurisdiction to impose sanctions as provided in the World Rugby other Anti-Doping Rules. 4. I also acknowledge and agree that any dispute arising out of a decision made pursuant to the World Rugby Anti-Doping Rules, after exhaustion of the process expressly provided for in those Regulations, may be appealed exclusively as provided in Regulation 21.13 *Appeals to an appellate body for final and binding arbitration, which in the case of International- Level Players others is the Court of Arbitration for Sport. 5. The governing law of the appeal heard by the Court of Arbitration for Sport shall be English law. 6. I acknowledge and agree that the decisions of the arbitral appellate body referenced above shall be final and enforceable. 7. I agree that I will submit a Therapeutic Use Exemption form if I am required to do so under the World Rugby other Anti-Doping Rules; 8. I agree that my personal anti-doping data relating to the Doping Control process (including test distribution planning, Sample collection and handling, laboratory analysis, result management, hearings and appeals), Therapeutic Use Exemption and/or player whereabouts can be processed (for example transmitted, disclosed, used and/or stored) by and amongst my Union / club / rugby body, World Rugby, Member Unions, the World Anti Doping Agency (WADA), National Anti Doping Agencies and/or other Anti Doping Organisations (as applicable) in electronic form including but not limited to as part of the ADAMS1 database system. 1 ADAMS is the Anti-Doping Administration and Management System which has been developed to enable athletes and anti-doping organisations to enter and share related to doping control. ADAMS is an on-line, webbased system, which allows restricted sharing of data only with those organisations with the right to access such data in accordance with the World Anti-Doping Code. Last update: 14 January, 2015 457


World Rugby Handbook
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