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  • Sunscreen Authorization Form

    (Program-Provided/Bulk Sunscreen)

  • LASER Childcare provides the following sunscreen: Banana Boat for Kids SPF 50

    • Expiration Date: None Listed
    • Active Ingredients: Titanium Dioxide 3.1%, Zinc Oxide 4.0%
    • Side Effects: None listed

     

    • Reason for medication: Protection from sun
    • Amount to be given: Cover exposed areas of skin
    • Route: Topical
    • Times to be applied: 30 minutes before exposure to the sun, and reapplied every two hours if remaining outdoors.
    • Storage: Room temperature

     

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  • I acknowledge that my child is able to independently apply their own sunscreen as needed throughout the day. (Staff can assist with reminders but not application.)

  • Clear
  • I authorize the use of the above "program-provided" sunscreen on my child.

  • Clear
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