Drug-testing Consent Form

Example: Athlete consent form for drug and alcohol abuse testing, prevention and counseling.

To be signed when the athlete signs a letter of intent or at the time a walk-on is officially invited by the coach to join a team.

“I__________________________________________________________, (Please PRINT clearly)

Being an adult person (18 years of age or older) do hereby agree and authorize Johnson County Community College and its agents and employees to conduct drug testing of specimen(s) which I agree to provide the college as from time-to-time required (and do further agree to the release of the results of such testing). Such testing will be in accordance with the attached written policy and procedure, which I acknowledge to have read and hereby agree to.

_____________________________________ Signature of Name Printed Above

_____________________________________ Parent or Legal Guardian (if applicable)

______________________________________ Date

______________________________________ Witness