Sunscreen/Bug Repellent Permission Slip
If you would like for us to apply Sunscreen/Bug Repellent to your child, please provide us with
an unexpired bottle of Sunscreen/But Repellent, labeled with your child’s name. As with any
topical medication or cream, the first application of any brand of Sunscreen/Bug Repellent
should be applied at home n order to evaluate your child’s possible allergic reaction to that
product.
I, ___________________________________ (print name) give Super Kids’ Place’s staff
permission to apply the provided Sunscreen/Bug Repellent.
_________________________ ___________________________
Child’s name Parent’s Signature
_________________________ _____________________________
Child’s name Date
Annual Updates: Parent’s Initials and Date
____ ____ ____ ____ ____ ____ ____ ____
____ ____
If you would like for us to apply Sunscreen/Bug Repellent to your child, please provide us with
an unexpired bottle of Sunscreen/But Repellent, labeled with your child’s name. As with any
topical medication or cream, the first application of any brand of Sunscreen/Bug Repellent
should be applied at home n order to evaluate your child’s possible allergic reaction to that
product.
I, ___________________________________ (print name) give Super Kids’ Place’s staff
permission to apply the provided Sunscreen/Bug Repellent.
_________________________ ___________________________
Child’s name Parent’s Signature
_________________________ _____________________________
Child’s name Date
Annual Updates: Parent’s Initials and Date
____ ____ ____ ____ ____ ____ ____ ____
____ ____
