CINCO RANCH HIGH SCHOOL BAND BOOSTERS, INC.

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1 CINCO RANCH HIGH SCHOOL BAND BOOSTERS, INC Cinco Ranch Boulevard Katy, TX Band is Family! We welcome all new and returning band members and their families to another wonderful year as part of our Cougar Band family. Our spectacular marching show, The Force is under the direction of Ray Jones, Danny Rivera, and Megan Rudolph (nee Moscoso). This packet is full of pertinent information to prepare you for the beginning of marching season and band money day. Please feel free to contact us with any questions. The season starts with full band marching practice on Monday, August 3, from 7:00 am 4:00 pm with a 90-minute lunch break. Proper hydration is crucial for students once marching practice begins. Be sure to have your student bring a large water jug with them. There will be parent volunteers on hand to help students with their needs during this time. MONEY DAY (mandatory attendance) Saturday, August 8, 9 am 12 pm and 1 pm 3 pm. This is the only opportunity for you and your student to purchase required band supplies tax free. In addition, spirit items such as parent shirts, yard signs, hoodies, magnets, car decals, etc. are also available for purchase tax free. We will be accepting cash, check, and credit cards. Prices listed on the attached form reflect the price after the cash/check discount, i.e. credit card prices will be 3% higher. Students will be trying on marching shoes for size, so they will need to bring a pair of socks. Below is a list of attachments that are included in this packet and will also be available on the band website, Please print all 3 of the required forms* and bring to the first day of marching practice, August 3. *Parent Authorization to Consent to Treatment of Student - required for participation in band activities. This form is due on your student s first day of marching practice (August 3). Consent to Treat form must be completed in order to practice. *Parent/Guardian Authorization for Regular Extracurricular Travel required for participation in band activities. *Student and Parent/Guardian Consent to Random Drug Testing required for participation in all competitive afterschool extracurricular activities including band Cougar Band Money Day Order Form please note this form is a SAMPLE reflecting our latest available data. Final costs may shift slightly. Finalized forms in triplicate will be provided at check-in on Money Day. For an explanation of required items, please review What Money Day Items are Required and Why Booster & Patronage Information we encourage every family to support the band by joining the Band Boosters. Your tax deductible donation will give you a voice and vote in the organization while also helping support the band beyond the mandatory fees Parent Volunteer Information adult involvement is vital to the operation of the Cougar Band program. We need everyone s participation in order to be successful. Even if your time is very limited, there are numerous ways in which you can help to make the Cougar Band

2 program even better! Your talents and abilities are greatly needed and appreciated. Every Band Adult is asked to participate in a minimum of three volunteer areas throughout the school year. Uniforms, chaperoning, loading/logistics, mums, and fundraising are just a few of the many opportunities available for volunteers. CRHS Cougar Band Paw-Raid march-a-thon information August 15 Cougar Band Marching Showcase & BBQ Meal Information August 21 Our annual Cougar Band Marching Showcase & BBQ will be held on Friday, August 21, from 6 p.m. to 8 p.m. The evening begins with a Cougar Band Booster meeting at 6 p.m. in the main commons followed by the Marching Showcase at 6:30 p.m. After the Marching Showcase, we will return to the main campus commons for the BBQ dinner. BBQ meal orders are due by August 14. Late orders cannot be accepted and meals will not be available for purchase the night of the BBQ. You can order your meal on the Money Day form or watch your for separate instructions. The evening s activities are a wonderful opportunity for everyone to get to know each other and to see the musical and marching accomplishments of the Cougar Band students. Communication Communication is critical and is our primary method for getting information into your hands. We use Charms as a web based tool for managing contact information. Please take a moment to log into Charms and confirm or update your information. Charms can be accessed at the following link. If it asks you to enter a school code, use CincoRanchHSBand The default login information is your student ID number minus the initial letter. Please bookmark our website for the band calendar, forms, and information. Also be sure to follow us on facebook for the latest breaking news: In addition to being available on the website, the band calendar can also be directly accessed via Charms All of the events for the entire school year are already in there. At the top of the page above the month s calendar is a blue button labeled SYNC Calendar. This will provide instruction on how to synchronize the band calendar on Charms with your personal device (iphone, Android, Windows, Outlook). By doing this, you will always know what is going on with the band. Join in the fun and get involved!!! You are the key to an exciting and successful year!! GO BAND! Rob & Kerrie Culp CRHS Cougar Band Boosters Presidents Culp.Band@gmail.com

3 Dear Cinco Ranch Band Parents and Students, We hope that everyone is having a great summer! Knowing how very quickly summer passes, summer band will be here before you know it. We are urging all parents to take full advantage of the upcoming year by becoming active in our booster organization. We have 270+ students currently enrolled for next season! We want you to have the chance to be closely involved with your band student during this important and developmental time in their life. They will be leaving the nest before you know it and there is nothing more worthwhile than experiencing these activities together. Participating with your child during this once-in-a-lifetime opportunity will create those wonderful memories that we will reminisce about for years to come. To perform at our best, we need to have everyone become a part of the CRHS Band Team. Please contact us or the boosters through our website at The Band Directors have an exciting Fall Season planned this year so please make sure to check the band calendar for updates found on our website above. As always, please make sure that you are communicating any attendance issues you have directly with us. Our doors are always open if you have any concerns or questions about your student. With the Katy sun bearing down on us, please make sure your student is spending part of this summer outside to become acclimated to the heat. With this and proper hydration, we can all get through marching season in a healthy fashion. We would also like to remind all parents that our rehearsals are open and you are very welcome to bring a chair and come watch us during summer practice. It is great for you all to see the hard work and team spirit your students put in on a daily basis to get their show prepared for the year. You are always welcome! We plan on previewing a portion of our show this year at the BBQ (set for August 21!). Please make every effort you can to attend this fun event. It is a great time for us to all get together and give the students a truly great kick off to their marching season. If you have any questions about next year, don t hesitate to contact us at the contact information below. We are firm believers in effective communication, and we would rather you come straight to the horse s mouth to get your information. And just a few dates to remember: Drumline Camp: July 27-30; Drumline Camp 4:00 pm in PAC on July 30. Student Leadership Team & Cougar Band Council: July 30 &31 All Band Members: See you on August 3 Money Day: August 8 Paw-Raid March-a-thon: August 15 Marching Showcase and BBQ: August 21 Keep Calm and (Let Summer) March On! Ray Jones, Danny Rivera, and Megan Rudolph Band Directors Cinco Ranch High School rayhjones@katyisd.org danielrivera@katyisd.org meganmrudolph@katyisd.org Office Phone:

4 Cougar Band Money Day Order Form Student's Name Grade Phone Number NO REFUNDS AFTER OCTOBER 1 Required Items Circle specific size or width Quantity Cost Per Item TOTAL Mandatory Fee (transportation, contest meals, hydration, party, uniform cleaning, show costs, etc.) 1 $ Pre-Game Meals (5 weekday games) 5 $6.00 $30.00 Band Water Jug (personalized) Name: 1 $10.00 $10.00 Gray moisture-manage shirt (2 suggested) S M L XL XXL XXXL $13.00 Maroon Show T-shirt (2 suggested) S M L XL XXL XXXL $12.00 Maroon moisture-manage Polo Shirt S M L XL XXL XXXL $20.00 Black Marching Socks (2+ suggested) one size fits all $5.00 Male Marching Shoes Men's size Medium or Wide $42.00 Female Marching Shoes Women's size Medium or Wide $42.00 XS S M L XL XXL XXXL Youth M Youth L XS S M L XL XXL Youth M Youth L Maroon Band Garment Bag Initials: 3 initials max $36.00 Maroon Band Tote Bag Initials: 3 initials max $29.00 Gloves per pair (2 pairs suggested) XS S M L XL XXL $5.00 Rain Poncho $10.00 Optional Items Circle specific size Quantity Cost Per Item TOTAL Section T-shirt (student designed tbd) S M L XL XXL XXXL $16.00 Gray Band Hooded Sweatshirt S M L XL XXL XXXL $20.00 Black Zippered Sweatshirt S M L XL XXL XXXL $30.00 Black "C R" Flexfit Cap S/M L/XL $15.00 Male Parent moisture-manage Polo S M L XL XXL XXXL $33.00 Female Parent moisture-manage Polo S M L XL XXL XXXL $33.00 Female Parent "Bling" Shirt S M L XL XXL XXXL $ st Name: Instrument: Band Magnet $12.00 Stadium Chair $45.00 Tervis Tumbler $10.00 Miscellaneous Items Booster Club Patronage (tax deductible) $25 $50 $100 $250 $500 NO REFUNDS ON PERSONALIZED ITEMS Male Black Gym Shorts $12.00 Female Black Gym Shorts $12.00 Car Decal $10.00 Marching Showcase & BBQ Dinner BBQ Plate $10.00 Hot Dog Plate $4.00 Subtotal PayPal Fee (3%) if applicable TOTAL $ $ $ Name on Check/Card Check # Reviewer Initials Cash

5 What Money Day items are required and why? Mandatory Program Fee This is required for ALL students and covers the cost of truck rentals for transporting equipment to events, buses for contests, contest meals for students, hydration at events, student parties throughout the year, cost of cleaning and maintaining both marching and concert uniforms, and a portion of marching show expenses and props. Pre-Game Meals When a football game falls on a school day, the students will not be able to leave campus after school. A meal will be provided to the students prior to loading the buses to ensure that everybody eats for the health of the student. Gray moisture-manage shirt This is a required purchase for first year band students and optional for returning students unless a replacement is needed. We recommend 2 of these shirts for occasions when there may not be time to wash it between events that fall on two consecutive days. This shirt is worn under the marching uniform. It is moisture manage to help with the heat. With all students wearing this shirt, we still look in uniform when jackets are off. Show T-Shirt This is a required purchase for ALL students. This shirt promotes the marching show and is required to be worn at several events throughout the year, such as pep rallies and the rodeo parade. 1 is mandatory but we recommend 2 of these shirts. Maroon moisture-manage Polo Shirt This is a required purchase for freshmen and first year band students and optional for returning students. This shirt is the casual uniform to be worn at some events throughout the year. It is moisture manage to help with the heat. Band Water Jug NEW This is a required purchase ALL students this year, optional in future years unless a replacement is needed. 2-quart, logoed and personalized water jug for uniform appearance. It will be used at all events to ensure sufficient hydration. Black Marching Socks This is a required purchase for first year band students and optional for returning students unless a replacement is needed. Having the same socks helps provide a uniform appearance on the field. We recommend at least 2 pairs. Marching Shoes This is a required purchase for first year band students and optional for returning students unless a replacement is needed. Having the same shoes helps provide a uniform appearance on the field. Black Gym Shorts - This is a required purchase for first year band students and optional for returning students. This is worn under the marching uniform and will give a uniform appearance when uniforms can be taken off at events. Maroon Band Garment Bag This is a required purchase for first year band students and optional for returning students unless a replacement is needed. The garment bag is used to transport the marching uniform to all events. Maroon Band Tote Bag This is a required purchase for first year band students and optional for returning students unless a replacement is needed. The tote bag is for transporting necessary items to events. Some students pack for band trips entirely in the tote bag. Black Gloves This is a required purchase for first year band students and optional for returning students unless a replacement is needed. The gloves are a part of the on-field uniform. Two pairs are recommended because of possibility of loss. Rain Poncho This is a required purchase for freshmen and any returning student who does not have one from previous years. The poncho helps protect the students and marching uniform from rain. Section T-shirt NEW, Optional show pride in your section with a student designed shirt. Each section will be different. No sales tax if purchased on money day.

6 CRHS Band Booster Parent Volunteer Information Please register each Volunteer separately (Moms and Dads, separate registrations please) Welcome back to the returning families and for those new to the CRHS Band program, welcome aboard. The band year promises to be exciting as this year s show develops and unfolds. For those that are new to CRHS, the Cinco Ranch Band program is a group of approximately 270 students run by three very talented and dedicated Band Directors and their student leadership team. This top-notch program extends beyond routine classroom education and school district funding. The Band program teaches music of course, but beyond this, the students are exposed to opportunities to build their leadership skills, all while learning about personal responsibilities in a team environment. In order for the students to get the most out of this fine arts program and be safe doing it, the Directors absolutely have to have the help of the PARENTS. No special skills are required for parents to participate in volunteer opportunities. Adult involvement is vital to the operation of the Cougar Band program. We need everyone s participation in order to be successful. Even if your time is very limited, there are numerous ways in which you can help to make the Cougar Band program even better! Your talents and abilities are greatly needed and appreciated. Every Band Adult is asked to participate in a minimum of three volunteer areas throughout the school year. Please take a moment to read the information provided here for additional details on the volunteer teams and then register on our web page to select the team(s) with which you are interested. Signing up will provide the Volunteer coordinators with your contact information and your volunteer preferences allowing the event captains to contact you for individual events. You are also encouraged to register which dates work for you for individual events at This link provides a description of the volunteer opportunity, and allows you to set your schedule early, and allow others to see remaining areas of need. Please provide your contact info and sign-up prior to Money Day August 8 via these links. You will be asked to confirm this information at Money Day and/or add additional information. Thanks in advance from your Directors, student leadership team, and Booster Board.

7 The General Team This team is dedicated to providing general activity support for the Band program by providing general support at Band performances and other related activities sponsored by CRHS. They also provide volunteer support to the Directors during marching season practices by providing supervision to students in need of restrooms, cool down, or other basic parenting activities so the Directors can focus on the instruction of approximately 270 students. General opportunities coincide with the Band marching season practice schedule and other performance and special event schedules. Additional opportunities include: Popsicle Thursdays: This is an opportunity to volunteer at your own schedule by shopping for and delivering to the school popsicles on Thursdays during marching season. Other opportunities include Money Day, Marching Showcase & BBQ, bake sales, videographer/photographer, event sendoffs, UIL marching contest, Poinsettia pick-up, holiday dinner, Band banquet The Mum Team This team is dedicated to the single most important fundraising activity the Band Boosters have in place today. They build, sell, and distribute several hundred creative and unmatched quality Homecoming mums to students and spirit teams at CRHS. Much of the Band program s equipment, equipment repair, show music/design, and supplemental technician support are funded through this effort. Opportunities to volunteer are scheduled during the hours of summer band practice, during school hours, or at home to accommodate most schedules. The Uniform Team This team is dedicated to providing the support needed to get students fitted for the marching and concert season uniforms. In addition to this activity, they distribute and collect uniforms for the marching and concert season events. Opportunities to volunteer coincide with pre/post football games and pre/post performances. Additional opportunities include: For individuals with basic sewing skills to help with the fitting and mending of uniforms at select times throughout the year The Chaperone Team This team is dedicated to providing the support needed to get the students safely to and from football games, marching performances, concert season performances, and trips. They also provide basic parental supervision at the Band events in support of the Directors' needs. During football games, they tend to the well-being of the Band members in the stands to ensure their safety and hydration. Chaperone opportunities coincide with football games, performances, and special events. Additional opportunities include: Nursing and EMT skills can be put to use in the stands at some of the hottest games early on in the season The Logistics Team This team is dedicated to providing the support needed to get the students instruments and other show-related equipment and supplies safely to and from football games, marching performances, concert season performances, and trips. Logistics volunteer opportunities coincide with football games, performances, and special events. Additional opportunities include: There is a need for volunteers capable of moderate lifting. This is a great place for dads to get involved. There is a need on this team for parents with vehicles capable of towing. The Band program has two trailers that will, in most cases, accompany the Band to events. Pitcher and towel cleaning is part of this team s activities. This needs to happen after each event and is a great opportunity to volunteer at home. Prop-building. Use your handyman skills to help assemble the props to support this year s marching show. The content listed above is not a complete list of volunteer opportunities. Volunteers will be needed for special events throughout the year.

8 Band Booster Membership Cinco Ranch High School Band Booster Club Band Booster Membership and Patronage Information We encourage every family to support the band by joining the CRHS Band Boosters. Your tax deductible donation will give you a voice and vote in the organization while also helping support the band beyond the mandatory fees. Your donations help our organization purchase marching shows (music and drill), instruments, props, pay technician and clinician costs and many more items. In past years your generous support has helped the band purchase a lightning detector, drum major podiums, a storage trailer, concert timpani, an external defibrillator, updated the field sound system, and the marching tower. Have a voice in your organization! INDICATE PARTICIPATION LEVEL ON YOUR MONEY DAY FORM. INDIVIDUAL PATRONAGE LEVELS & BENEFITS All privileges in the GOLD LEVELL plus $500 - PLATINUM LEVEL* Two (2) Band Banquet tickets All privileges in the SILVER LEVEL plus $250 - GOLD LEVEL* Two (2) Holiday Dinner tickets and name engraved on plaque in Band Hall (if desired) All privileges in the BRONZE LEVEL plus $100 - SILVER LEVEL Band Booster hat All privileges in the $25 LEVEL plus $50 - BRONZE LEVEL Band Booster decal (1 per family) Please consider supporting at this level or above plus name in concert programs Receive voting privileges at Band Booster $25 - Membership LEVEL meetings *For contributions of $250 or more, a tax receipt will be provided detailing what portion of the contribution is tax deductible. Should you wish to make a fully tax deductible donation, please advise us that you wish to not receive any material items in return for your donation at the Silver, Gold, or Platinum levels. Many corporations have matching gifts and volunteer hour programs. If you aren t sure if your employer participates in these programs, we can assist in finding out if you provide your employer name(s). Please note we will not contact your employer directly. Thank you for your support!

9 CINCO RANCH HIGH SCHOOL BAND BOOSTERS, INC Cinco Ranch Boulevard Katy, TX CHARITABLE CONTRIBUTION DISCLOSURE STATEMENT Cinco Ranch High School Band Boosters, Inc. is a qualified tax-exempt organization as defined in Section 501(c)(3) of the Internal Revenue Code of For Federal income tax purposes, a charitable contribution deduction may be claimed for the amount of a contribution made to the Band Boosters less the value of goods or services provided, if any. $500 Platinum Level estimated value of goods or services provided: CRHS Band Booster car decal $5.00 CRHS Band Booster hat $12.00 (2) Holiday Dinner tickets $30.00 (2) Band Banquet tickets $80.00 Tax deductible amount: $ $250 Gold Level estimated value of goods or services provided: CRHS Band Booster car decal $5.00 CRHS Band Booster hat $12.00 (2) Holiday Dinner tickets $30.00 Tax deductible amount: $ $100 Silver Level estimated value of goods or services provided: CRHS Band Booster car decal $5.00 CRHS Band Booster hat $12.00 Tax deductible amount: $83.00 $50 Bronze Level and $25 Member Level Under IRS guidelines, the full amount of your $25 contribution is deductible. The estimated value of the goods or services provided (CRHS Band Booster car decal) at the $50 Bronze Level is not substantial; therefore, the full amount of your $50 contribution is also deductible. Individual charitable contribution receipts will be ed to each contributor at the Platinum and Gold levels by February 15, 2016.

10 The 2015 Cougar Band Marching Showcase & BBQ Please join us for a Cougar Band Tradition! Who: What: When: Where: Cougar Band, Encore & Cheer 2015 Marching Show Preview and BBQ Friday, August 21, 6:00 p.m. to 8:00 p.m. CRHS Main Commons All Cougar Band, Encore, and Cheer students and their family and friends are invited. The evening begins with a Band Booster meeting at 6:00 p.m. in the main campus commons followed by the marching show preview at 6:30 p.m. Check-in for the BBQ dinner will begin afterwards in the rotunda. Payment for the BBQ dinner can be made on the Band Money Day form. There are two dinner choices: -The BBQ dinner includes sliced beef and sausage, beans, buttered potatoes, coleslaw, bread, pickles, onions, iced tea, lemonade, or water. -The hot dog dinner includes hot dog, chips, iced tea, lemonade or water and condiments. Check-in in the rotunda following the marching show preview. No meals will be available for purchase that evening. Any questions, please contact Rob or Kerrie Culp at Culp.Band@gmail.com

11 Katy Independent School District Parent Authorization to Consent to Emergency Treatment of Student Name of Student: (Last) (First) (Middle) Date of Birth (mm/dd/yyyy) Grade Level As the parent(s)/guardian(s) of the above-named student, a minor, I/we do hereby authorize a Katy Independent School District staff member(s), to act as my/our agent(s), to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and/or hospital care which is deemed advisable by, and is to be rendered under, the general or special supervision of any licensed physician/surgeon, whether such diagnosis or treatment is rendered at the office of said physician/surgeon or at a hospital. Parents/guardians will be notified by the district, by the contact information below, of any treatment rendered to the student. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required but is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such diagnosis, treatment or hospital care which aforementioned physician/surgeon, in the exercise of his/her best judgment, may deem advisable, prior to any treatment being rendered. I/We hereby authorize any hospital which has provided treatment to the above-named minor to surrender physical custody of such minor to the agent(s) upon completion of treatment. It is understood that I/we must assume legal responsibility for any expenses incurred for medical treatment which may not be covered by my/our personal insurance, Medicaid, or Medicare. Name of Father/Guardian: (Last) (First) (Middle) Father s Home Phone Father s Work Phone Father s Cell Phone Name of Mother/Guardian: (Last) (First) (Middle) Mother s Home Phone Mother s Work Phone Mother s Cell Phone I/We have read and understand the extent of this authorization and that it shall remain effective until the end of the current school year, from August 1, 20 through July 31, 20. Signature of Parent/Guardian: Date Insurance Information Name of Insured Policyholder: Last First Middle Billing Address of Policyholder: Street City State Zip Insurance Company Group No.: Certificate or Policy No.: Type of Insurance Plan HMO PPO Medicaid Medicare Other: Please note my child has the following allergies/medical conditions and/or is currently taking the following medications: Revised: Health Services Department

12 Katy Independent School District Parent/Guardian Authorization for Regular Extracurricular Travel Student s Last Name First Name Middle Name Grade Level Extracurricular Activity School Year As the parent/guardian of the above-named student (or adult student), I grant permission for my child (or me) to travel and participate in all regularly/routinely scheduled activities of the designated extracurricular group for the current school year. I understand that all students are required to ride to and from all school-sponsored activities in District-provided transportation according to Board Policy FMG. An exception may be granted for a student to be released to the custody of his/her parent at the completion of the activity if a written request is received and approved prior to the trip. It is understood that a separate permission slip will need to be completed for any additional activities requiring travel in order for my child to participate. It is understood that neither the Katy Independent School District, nor any of its trustees, officers, employees, or organization sponsors are liable for any accident or injuries that may occur to the above-named student as a result of any aspect of his/her participation on these trips. I acknowledge that in case of an emergency, illness, or accident for which a parent cannot be reached, an attempt will be made to reach one of the emergency contact people listed below. However, if no one can be reached, I authorize the school officials to take whatever action is deemed necessary in their judgment, for the health of my child. I will be responsible for any cost in the event my child must be transported by ambulance and receive medical care. Insurance Company Insurance Information Policy Number Group Number Insured s Name Medical Information Please note: My child has the following allergies/medical conditions and/or is currently taking the following medications: PLEASE PRINT Emergency Contact Emergency Contact Information Relationship Home Phone Work Phone Cell Phone Emergency Contact Relationship Home Phone Work Phone Cell Phone Emergency Contact Relationship Home Phone Work Phone Cell Phone Authorization Parent s/guardian s (or Adult Student s) Printed Name Parent s /Guardian s (or Adult Student s) Signature Date Father s/guardian s Home Phone Father s/guardian s Work Phone Father s/guardian s Cell Phone Mother s/guardian s Home Phone Mother s/guardian s Work Phone Mother s/guardian s Cell Phone Revised: Special Services Department

13 Katy Independent School District Student and Parent/Guardian Consent to Random Drug Testing Student Legal Name: Last First Middle Campus Grade Student ID# Social Security Number Name of Parent/Guardian Telephone Number Statement of Purpose and Intent Participation in competitive afterschool extracurricular activities and/or parking on campus in Katy Independent School District (herein after referred to as the District ) is a privilege. These students carry a responsibility to set the highest possible examples of conduct, which includes avoiding the use of illegal drugs, performance-enhancing drugs, and/or alcohol. Participation Each student who desires to participate in competitive afterschool extracurricular activities and/or parking permit privileges shall be provided with written information regarding the District s random drug testing policy and a Student and Parent/Guardian Consent to Random Drug Testing form, which shall be read, signed and dated by the student, parent and/or person otherwise in lawful control of the student. The consent requires the student to provide a urine sample to be tested for illegal drugs, performanceenhancing drugs, and/or alcohol when chosen through the random selection process. No student shall be allowed to practice or participate in any competitive afterschool extracurricular activities and/or parking permit privileges until the Student and Parent/Guardian Consent to Random Drug Testing form is properly signed and returned. Failure or Refusal to Submit In the event a student is randomly drawn to participate in RDT on a given date but who, because of illness or any other legitimate reason, leaves school before the test is performed shall be included in the next random screen. Refusal on the part of any student to participate in a scheduled or random drug test shall be considered as having tested positive. Student Authorization I, the above-named student, understand that out of care for my health and safety and that of other students, the District has added a random drug testing policy pertaining to the use of illegal drugs, performance-enhancing drugs, and/or alcohol. As a member of a group included in random drug testing, I realize that the personal decision that I make in regard to the consumption/use of illegal drugs, performance-enhancing drugs, and/or alcohol may affect my health and wellbeing, endanger those around me, and reflect upon the group(s) with which I am associated. If I choose to violate the random drug testing policy regarding the use of illegal drugs, performance-enhancing drugs, and/or alcohol any time while I am involved in any activity, including in-season or off-season activities, and/or using parking permit privileges, I understand upon determination of that violation, I will be subject to restrictions as outlined in the random drug testing policy. Signature of Student Date Parent/Guardian Authorization As the parent(s)/guardian(s) of the above-named student, I/we have read and understand the District s random drug testing policy. I/We desire that he/she participate in the competitive afterschool extracurricular activities and/or parking permit privileges of the District, and I/we hereby voluntarily agree to be subject to the terms of the random drug testing policy. I/We accept the method of obtaining urine samples, testing and analysis of such specimens, and all other aspects of the program. I/We further agree and consent to the disclosure of the sampling, testing, results, and restrictions as provided in this program. Signature of Parent/Guardian Date cc: Campus Administration Coach/Sponsor/Official 2/18/15 Student/Parent Campus Administrative Support Department