Add two foreign key columns that reference the same table

I’m not sure exactly what you mean by “on the same line”, but you treat them as two different associations. For example here are some samples:

defmodule Ex338.Waiver do
  schema "waivers" do
    belongs_to :add_fantasy_player, Ex338.FantasyPlayer
    belongs_to :drop_fantasy_player, Ex338.FantasyPlayer
  end
  
  def query(query) do
    from w in query,
      inner_join: a in assoc(w, :add_fantasy_player),
      inner_join: d in assoc(w, :drop_fantasy_player)
  end

  def preload_assocs(query) do
    from w in query,
      preload: [:add_fantasy_player, :drop_fantasy_player]
  end
end

defmodule Ex338.FantasyPlayer do
  schema "fantasy_players" do
    has_many :waiver_adds, Ex338.Waiver, foreign_key: :add_fantasy_player_id
    has_many :waivers_drops, Ex338.Waiver, foreign_key: :drop_fantasy_player_id
  end

  def waiver_adds(query) do
    from f in query,
      inner_join: w in assoc(f, :waiver_adds),
      preload: [:waiver_adds]
  end
end