lake travis isd policy for random student drug testing

2004 - 2005LAKE TRAVIS ISDVOLUNTARY STUDENT DRUG TESTING CONSENT FORMFOR MINOR STUDENTI, ______________________________________________, as parent or guardian of__________________________________________________, a minor student enrolled in LakeTravis ISD, have read and understand Lake Travis ISD’s policy regarding voluntary randomstudent drug testing. My child did not receive a parking permit allowing my child to park his/hervehicle on school property during the school day and is not subject to mandatory random drugtesting. However, I wish for my child to participate in Lake Travis ISD’s voluntary drug testingprogram.I understand that the cost for participating in the voluntary student drug-testing program will beborne by Lake Travis Independent School District.I understand that my child's participation in the program is strictly voluntary, and that I maywithdraw my student from participation in the program at any time.I understand that my child will be asked to provide a urine sample for drug analysis, and Iconsent to such testing conducted as part of the District’s drug testing policy.I also understand that my child cannot be compelled to produce a specimen. I understand that ifa specimen is given upon request, it will be tested for drugs.I understand that if my child tests positive, the District may require my child to receive drugcounseling and submit to additional drug testing in accordance with the District's drug testingpolicy. I also understand that my child may lose privileges, including but not limited to, loss ofparticipation in extracurricular activities. I understand that refusal to submit to a test will havethe same consequence as if my child had tested positive.I hereby agree to my child giving a specimen as part of the District's voluntary random studentdrug testing program.________________________________________Parent/Guardian Signature____________________________Date________________________________________Student Signature____________________________DateLake Travis ISD 11