PARTICIPANT DRUG POLICY ACKNOWLEDGEMENT




  I understand that the SAFE Family Programs have a zero tolerance drug policy and the
  participants in the SAFE programs are made aware of this policy as it is set out in the
  agreement to participate.

  The SAFE Programs drug and alcohol policy provides that if a drug or alcohol use prior
  to a visit is suspected then the visit will be terminated immediately. SAFE has the right
  and will require any party suspected of consuming drugs or alcohol prior to a visit to
  submit to a drug screening test either by hair or blood sample within three (3) hours
  of the time the party arrived to visit or meet a child.  

  This policy applies if for any reason the staff or supervisors of the SAFE programs
  suspect that a party visiting a child in any setting, whether the party is visiting a child
  in a group setting, a privately supervised visit, a custodial party picking up a child
  from the SAFE program or a party participating in the exchange of children for
  visitation, has consumed or used drugs or alcohol prior to arriving at the SAFE
  program location.

  Under no circumstances will a child be released to a custodial party if the use of drugs
  or alcohol is suspected. The party will be required to arrange for a third person
  to come to the SAFE program location to pick up the child and the party. The party will
  be responsible for having someone pick up the vehicle, or returning later to get the
  vehicle. If the party refuses to follow these requirements law enforcement will be
  called and the attorney's involved in the case notified.

  I understand that my refusal to submit to a drug or alcohol screening test or a
  positive test will lead to my immediate termination from the SAFE program and that
  the court will be notified of both the termination and the reason for termination.







  Signed:_____________________________        Date:___________________________
                                   CP/NCP           


  Child(ren) Last Name:_________________        Location:________________________