Permission to Apply Topical Products
Please complete this form to provide permission in order for your child's teacher to apply any topical products such as cornstarch baby powder, lip chap, lotion, Vaseline, diaper cream or any other topical products. Parent must send the product in its original container, unexpired, labeled with the child's first and last name.
Child's Name
*
First Name
Last Name
Specific Name of Product
*
When should the product be applied?
*
Dates to be applied. You may list "as needed during Camp 2025 or "as needed during 2025-2026 school year" or specify dates that the teacher is given permission.
*
What dosage/amount should be applied?
*
Special instructions, if any.
Parent's Name completing form
*
Parent's Email
*
example@example.com
Signature
*
Date
*
/
Month
/
Day
Year
Date
Submit
Should be Empty: