Aurora University Athletics

I,____________________________________________, hereby acknowledge that I have received a copy of, read and been given the opportunity to ask questions regarding the Drug Education, Counseling and Testing Program implemented for the Department of Intercollegiate Athletics at Aurora University. I understand the policies, procedures and my responsibilities as described in such policy.
 
As a condition to my participation in intercollegiate athletics at Aurora University, I consent to participate in the Drug Education, Counseling and Testing Program. I understand that my participation in this program includes the collection and testing of my urine at various times during academic year for drugs, alcohol, and/or other banned substances. Note:  No medical exception review is available for substances in the class of street drugs, including but not limited to Medical Marijuana. This extends to states that have legalized marijuana for medical use.
 
I further consent to the release of the results of any drug test to the Director of Athletics or his/her designee, Assistant Director of Athletics, my Head Coach, the Head Athletic Trainer and/or Assistant Athletic Trainers, Team Physician, Office of Student Life, and/or my parent(s) or guardian(s). I acknowledge and understand that a copy of this consent form may be sent to my parent(s) or guardian(s) along with a copy of the Drug/Alcohol Education & Testing Program. To the extent set forth in this document, I waive any privilege I may have in connection with such information.
 
I fully understand that the Aurora University Drug Education, Counseling and Testing Program is separate and distinct from the NCAA drug-testing program and its sanctions; however, I also understand that sanctions may be imposed by Aurora University under Drug Education, Counseling and Testing Program upon a positive result under the NCAA drug-testing program.
 
Notwithstanding anything to the contrary in the policy, I fully understand that I may be suspended from competition and/or practice by the team physician if credible evidence suggests that such competition and/or practice poses a health and safety risk to me, my teammates, and/or my competitors.
 
Aurora University, its officers, employees, and agents are hereby released from legal responsibility and/or liability for the release of any information and/or record as authorized by this consent form. I fully and forever release and discharge the aforementioned parties from any claims, demands, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from my participation in Aurora University’s Drug Education, Counseling and Testing Program including those claims, demands, rights of action, or causes of action arising out of any positive result under such Drug Education, Counseling and Testing Program.
  
I understand that I have been notified and educated about the required sanctions of a positive drug test as outlined below:

First Positive Test Program Director notifies the Director of Athletics of test results Director of Athletics may inform Head Coach of test result One mandatory counseling assessment is required prior to return to play Suspension from 30% of scheduled contests with rollover sanctions Possible suspension from practices (to be determined by Director of Athletics) Suspension from all team activities during the time of the suspension, including travel Participation in future testing (either re-entry or follow-up testing) Notification of The Office of Student Life Possible parental notification

Second Positive Test Program Director notifies the Director of Athletics of test results Director of Athletics may inform Head Coach of test result Additional counseling assessment is required Immediate suspension from participation in intercollegiate athletics at Aurora University indefinitely Notification of The Office of Student Life Possible parental Notification

 
 
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Student-Athlete Signature                                                                  Date

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Printed Name of Student-Athlete                                                       Date of Birth

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Student Identification Number                                                                       Sport(s)           
                                                                                               
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Parent/Guardian Signature (if a minor)                                                         Date