FILE:  IDFAA-E

Cf:  IDFAA

CONCORDIA PARISH ATHLETE DRUG TESTING

CONTRACT AND CONSENT FORM

No student shall be tested unless the parent or guardian and the student sign this form permitting the performance of the subject tests.  By signing and submitting the Drug Testing Contract and Consent form, the parent(s)/guardian(s) and student acknowledge that they have consented to the administration of the tests.  They also waive any claim of invasion of privacy and waive any objection to the actions necessary in the implementation of this drug testing program and in furtherance of the goals which serve as its basis.  It shall be understood further, that by agreeing to any tests, the parent(s)/guardian(s) and the student authorize the Concordia Parish School Board to have the tests enumerated herein administered as a necessary and mandatory aspect for participation in its athletic programs.  Refusal to sign the following form and/or to submit to the test shall constitute immediate notice that the student shall not be permitted to participate or continue to participate in athletics offered by the Concordia Parish School Board and the schools under its jurisdiction.

            I,                                                     , authorize the Concordia Parish School Board to conduct tests on urine specimens, which I will provide, to test for drugs.  I also authorize the release of information concerning the results of such tests to the Concordia Parish School Board through its agents (the Superintendent and/or his/her designee) and to my parents and/or guardians.  If I am or have been taking prescription medication, I acknowledge that I may provide verification (either by a copy of the prescription or by Doctor's authorization) prior to being tested. I am aware this requested information concerning prescription medication is voluntary and shall be provided in a sealed envelope, and the concepts thereof will only be used by the testing agency if needed.  I am fully aware of the Concordia Parish School Board Policy on drug use and also the additional rules set forth by my school's athletic department.  I understand that should I violate these rules, I am subject to severe penalties including loss of athletic privileges.

Signature of

Student Athlete:                                                        Date:                       

"I have read the above document, and permission is hereby given for the above named student to participate in interscholastic athletics at

                                         High School.  I understand that drug screening is not only necessary, but a requirement for participation and that participation shall be denied students who do not follow all rules (parish, school, and coaches) that pertain to athletics.

Signatures of

Parent(s)/Guardian(s):                                                     Date:                 

                                                                                               Date:

Concordia Parish School Board