Topical Applications Permission
Completed annually in July.
Today's Date
-
Month
-
Day
Year
Date
Your Child's Name
First Name
Last Name
Parent/Guardian
First Name
Last Name
I give permission for Treehouse staff to apply topical lotions and creams on my child including sunscreen, insect repellent, diaper rash ointment, etc. I understand it is my responsibility to provide these items to the school, labelled with my child’s name.
Yes
No
Signature: Parent/Guardian
Thank you
Continue
Continue
Should be Empty: