KISD Drug Test Consent & Release Form for Participation in Interscholastic Extracurricular Activities
I understand and agree that participation in interscholastic extracurricular activities is a privilege that may be withdrawn for violations of Killeen ISD Policies.

I acknowledge my student participates in interscholastic extracurricular activities at KISD and as such us required to participate in the Mandatory Drug Testing Program.

I acknowledge that I can view a copy of the Mandatory Drug Testing Program for the Killeen ISD Program online at www.killeenisd.org on the Athletic link. I understand and agree that I am bound by all the provisions in said program as it now exists or may hereafter be amended. I have read and understand the drug-testing program and I have had a representative from the district answer any questions that I may have regarding this program. I hereby consent and agree to the testing provided in said program. I understand that participation in interscholastic activities at KISD is conditioned upon voluntary consent and participation in the drug-testing program.

In consideration of the benefits arising to me and my child from this activity, I hereby grant permission for my child to participate in this program. I further agree to and shall indemnify and hold harmless the KISD, its officers, agents, and employees, from suits, and liability of every kind, including all expenses of litigation, court costs, and attorney’s fees, for any injury or damages which I, my child, or any other person might sustain as a result on my child’s participation in this program.

I acknowledge that I have read and understand this consent and release. I represent that I am the parent/guardian of the student named above and I hereby agree that we shall both be bound by the terms of this Consent and Release.

A printable copy of this form is available upon request.
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Student Last Name *
Student First Name *
School ID Number *
Parent/Guardian's Name *
Extracurricular Course *
Student: By entering my name below, I acknowledge that I have read and understand this consent and release. I represent that I am the student named above and I hereby agree that I shall be bound by the terms of this Consent and Release. This serves as my signature. *
Date Signed *
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Parent/Guardian: By entering my name below, I acknowledge that I have read and understand this consent and release. I represent that I am the parent/guardian of the student named above and I hereby agree that we shall both be bound by the terms of this Consent and Release. This serves as my signature. *
Date Signed *
MM
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DD
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YYYY
Listed below are prescription drugs and dosages taken by my student on a regular basis:
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