Consent to Participate in Random Testing for Student Alcohol or Other Drug Use Program

Consent to Participate in Random Testing for Student Alcohol or Other Drug Use Program

Kingsway Regional Middle School offers a host of after school clubs and wellness activities.  We strongly encourage your child to get involved and make the most of his/her middle school experience.  According to newly adopted District Policy 5536 regarding random drug testing, in order to attend KRMS after school clubs and wellness activities, parents must provide consent to participate in our random testing for alcohol and other drug use program.  Please read the following information and initial the checklist that was provided to your child on the first day of school in homeroom.  Your initials will confirm your consent.

• We hereby consent to permit our student to participate in the Random Testing for Student Alcohol or Other Drug Use Program as approved by the Kingsway Regional School District.  In issuing consent, we permit our student to undergo random urinalysis testing for the presence of alcohol or other drugs as outlined in district policy.
• We understand that a qualified vendor will oversee the collection process.
• We understand that any urine samples will be sent only to a certified laboratory for testing and that the samples will be coded to provide confidentiality.
• We hereby give consent to the vendor selected by the Kingsway Regional School District to perform urinalysis testing for the presence of alcohol or other drugs as named in district policy.
• We further give permission to the vendor selected by the Kingsway Regional School District to release all results of these tests to the Medical Review Officer working for the vendor.  We understand these results will be forwarded to the Superintendent and will also be made available to us.
• We understand that this consent agreement will be in effect for the duration of my child’s enrollment at Kingsway Regional School District.

This consent shall be effective as long as the child is enrolled at the Kingsway Regional School District, or until written notice of revocation of this consent is given to the Superintendent of Schools. 

• We understand that if student refuses to test, or who is determined to have tampered with a sample, will be deemed to have a positive test result and will be subject to the appropriate provisions of a positive test result
• We understand that if student who is randomly selected to be tested, but is absent on the day of testing, will have a sample collected on the next random testing date.
• We understand that the urinalysis conducted will include the following substances and be based on the following levels.