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Mukwonago Area School District Co-Curricular Random Drug Testing Program Consent & Release Form
Beginning in the 2023-2024 School Year,  the Code of Conduct will apply to not only all athletic teams, but also those activities that represent MHS in competitions or those groups that have a tryout/selection/voting process to select both general members or those clubs/groups that have an “Executive Board” or equivalent.

Additionally, Mukwonago High School has implemented a random drug testing policy for all students covered by this agreement as well as students who choose to park on-campus.  

Please see the Random Drug Testing Guidelines found here:
https://docs.google.com/document/d/14kJ80TqvAbWo78mAxZplJkClFBJLnii_gYYNHOJwMDQ/editusp=sharing

Student First Name *
Student Last Name *
Student ID #

 *
Grade *
Parent/Guardian Consent
Please read and "sign" below by typing out your full name and entering today's date.

I,  the undersigned am the parent/legal guardian of (student named below).

I understand that as a condition of participation in co-curricular activities and/or the exercise of parking privileges, my child will be subject to random drug testing pursuant to the Mukwonago Area School District’s Random Drug Testing Policy.

I understand that the District will test for the presence of certain substances which may include marijuana, opiates, cocaine, amphetamines, performance enhancers and phencyclidine (PCP). The District reserves the right to test for any other drug, within the meaning of the Policy, at the discretion of the School District Administration.                                          

I consent to my child’s participation in the Random Drug Testing Program pursuant to the terms of the District Policy. I also consent to the release of information concerning the results of the Random Drug Testing Program to the Mukwonago Area School District’s personnel who hold a legitimate educational interest.

Since our child has elected to become a member of a Mukwonago Area School District co- curricular program and/or to exercise District parking privileges, we agree to abide by the Random Drug Testing Policy which I/we have read and understand.
Date   *
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Email Address as Digital Signature of Parent(s)/Legal Guardian(s) *
Check one or both: *
Required
Primary Telephone Number: *
Student Participant Acknowledgment
Please read, and "sign" below by typing out your full name and entering today's date.

I, the undersigned, have read and understand the statement above. I understand that my participation in co-curricular activities and/or my right to parking privileges is subject to random testing under the District’s Random Drug Testing Policy. Since I have elected to become a member of a Mukwonago Area School District co-curricular program and/or seek parking privileges at the High School, I hereby agree to abide by the Random Drug Testing Policy which I have read and understand.  
Date   *
MM
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DD
/
YYYY
Email Address as Digital Signature of Student *
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