lake travis isd policy for random student drug testing

2004 - 2005LAKE TRAVIS ISDSTUDENT DRUG TESTING CONSENT FORM FOR STUDENT AGE 18 OR OLDERI, ______________________________________________, a student enrolled in Lake TravisISD and receiving a parking permit allowing me to park my vehicle on school property duringthe school day, have read and understand Lake Travis ISD’s policy regarding random studentdrug testing.I understand that I will be asked to provide a urine sample for drug analysis, and I consent tosuch testing conducted as part of the District’s drug testing policy.I also understand that while I cannot be compelled to produce a specimen; the giving of aspecimen, when requested by the District, is a condition of my continued privilege of parking onschool property during the school day. I understand that if I test positive, the consequences willinclude termination of parking privileges and the loss of other privileges such as participation inextracurricular activities. I understand that refusal to submit to a test will have the sameconsequence as if I had tested positive.________________________________________Student Signature____________________________DateParent AcknowledgmentAs the parent or guardian of _______________________________________________, I haveread and understand Lake Travis ISD’s policy regarding random student drug testing. Iacknowledge such testing is conducted as part of the District’s drug testing policy. I understandthat if my child tests positive, the consequences for my child will include termination of parkingprivileges and the loss of other privileges such as participation in extracurricular activities. Iunderstand that refusal to submit to a test will have the same consequence as if my child hadtested positive.________________________________________Parent/Guardian Signature____________________________DateLake Travis ISD 10