DRUG TEST PROGRAM CONSENT FORM
I hereby give my consent to a drug test to be administered at the request of El Paso
Community College Athletics at its discretion. The results of a said test will be kept
confidential, to the extent the college is legally capable, and will be available only to authorized
college personnel, including my head coach, athletic trainer and team physician. I will also be
provided with any results of such tests.
If the result of any drug test shows the presence of or the positive use of a controlled
substance as defined by State or Federal law, or if such a substance or drug is prohibited by
organized junior or community college athletics or a corresponding athletic sanctioning body,
my participation in athletics at El Paso Community College may results in suspension or
dismissal from the team. Any such decision will be made by the athletic director and my coach.
I also understand that I have the right to request a drug test at my own discretion.
I hereby release, remise and discharge from any liability arising from the authorization or
administration of a drug test the El Paso Community College District, its agents and employees,
its athletic department and coaches, and any physician, laboratory or other person or entity
authorizing or administering the test.
PRINT NAME __________________________
DATE ______________________________
SIGNATURE ___________________________
________________________________________
PARENT OR LEGAL GUARDIAN
DATE ______________________________