Authorization Form for Non-prescription Over-the-Counter Skin Products

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This form must be completed by the parent/guardian to authorize the use of sunblock.

Little Hoku Montessori Academy has my permission to apply non-prescription over-the-counter (OTC) skin product(s) listed below to my child:

Signature
Parent/Guardian SignaturePlease sign here to authorize the application of non-prescription, OTC sunblock products as listed above.
(Sign Here)
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