MEDICAL MATTERS: I hereby warrant to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child.
OF THE FOLLOWING STATEMENTS pertaining to medical matters, SIGN ONLY THOSE IN ACCORDANCE WITH YOUR WISHES.
Emergency Medical Treatment: In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or doctor. In the event of an emergency, if you are unable to reach me at the above numbers, contact the emergency contact listed.
Other Medical Treatment: In the event it comes to the attention of the DESIGNATED SUPERVISOR or staff that my SON/WARD becomes ill with symptoms of headache, vomiting, sore throat, fever, or diarrhea, I DO want to be called.
Over-the-counter medication: Any over-the-counter medication, such as: aspirin, ibuprofen, Tylenol, cough drops, etc., must come from home. No over-the-counter medications will be dispensed to SON/WARD.
Medications: If my SON/WARD is taking medications at present and will bring the medication in the original container, and only the number of doses necessary for the duration of this activity. I give permission for SON/WARD to take this medication on his/her own.