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ALLERGIES/CONSENT FORM (ALL)
ALLERGIES/CONSENT FORM (ALL)
Please complete the form below. Required fields marked with an asterisk *
Child's Full Name
*
Answer Required
Class
*
Answer Required
ALLERGIES
*
Please type "none," if not applicable. A list of all food related allergies will be posted in every classroom for safety purposes.
Answer Required
Prescribed Treatment (Epi Pen, Benadryl...)
*
When you bring your child's medication to school, you will be asked to complete and sign a "Medication Administration Form" that will be kept with the medication at all times.
Answer Required
Any other food related restrictions
*
Answer Required
SUNSCREEN: I authorize school staff to apply sunscreen prior to any outdoor time.
*
Answer Required
Yes
No
PHOTO/VIDEO RELEASE: I authorize 2nd Presbyterian Weekday School to display photographs of my child and/or family in newsletters, professional publications, school website, etc. Videos may be used at teacher in-services and/or as observational tools for assessment.
*
Answer Required
Yes
No
ON SITE/OUT OF CLASSROOM RELEASE: I authorize my child to participate in learning activities outside of the classroom that are on the Church premises. (i.e. nature walk, visit to Great Hall, Fellowship Hall, other classrooms)
*
Answer Required
Yes
No
CLASSROOM PET RELEASE: I authorize my child to be in the presence of the school's pets and educational programs with animals. (Classroom pets may include gerbils, guinea pigs, hamsters, goldfish, turtles, birds, rabbits, and butterflies. Educational organizations such as the Louisville Zoo or Silly Safari may bring other types of animals in cages.)
*
Answer Required
Yes
No
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