TANGIPAHOA PARISH SUBSTANCE ABUSE/MISUSE

STUDENT ATHLETE CONTRACT

 

 As a student athlete in Tangipahoa Parish School, I fully realize the importance of being physically, mentally, and morally fit. I understand that to pursue excellence on the playing field I must not experiment with alcohol or other illegal substances. I am fully aware of the Tangipahoa Parish School System policy on drug and alcohol use and also the additional rules set forth by my school. I understand that should I violate these rules I am subject to severe penalties including loss of athletic participation privileges. I also understand that should I have the need to discuss or seek assistance in reference to a drug or alcohol related matter, it is my responsibility to do this immediately. This can be done with a member of the coaching staff, a guidance counselor, or administrator and all discussion will be in absolute confidentiality. I know that if I ask for help I will receive help and I will not be suspended or expelled from school because of my voluntarily seeking help for a problem. I also understand that this does not relieve my obligation through the mandatory drug testing program.

 

 RELEASE FORM The undersigned releases the Tangipahoa Parish School Board from any responsibilities in connection with the administration of test results, warranties as to accuracy of said test results, and medical procedures used by the referring Laboratories. It is further agreed and understood by the undersigned parents/guardians and the student/athlete that the Tangipahoa Parish School Board assumes no responsibility for diagnosing or treating any disease that may become known as a result of said laboratory tests. The procedures to be followed if a positive test result surfaces will be provided to all students and parents. The undersigned do hereby authorize the Tangipahoa Parish School Board and the individual schools to have the test administered from the date indicated below until my child is no longer an athlete in the school system. Refusal to be tested will immediately serve as notice that the student/athlete has chosen not to participate in the athletic activity.

 

 

Parent(s) Signature: _______________________________Date____________________

Guardian(s) Signature: _____________________________Date____________________

 
Telephone Number: Home: _________________________Work__________________

Student’s Name: PLEASE PRINT
__________________________________________

 Student’s Signature: ______________________________Date_____________________

 Student’s SS#: ___________________________________________________________

Principal’s Signature ______________________________Date ____________________

Coach’s Signature ________________________________Date ____________________
 


Click below to download a copy of the Student Athlete Contract (Word doc.)

Student Athlete Contract