Common Contracts

1 similar Release and Waiver of Liability for Administering Medication contracts

RELEASE AND WAIVER OF LIABILITY FOR ADMINISTERING MEDICATION
Release and Waiver of Liability for Administering Medication • June 21st, 2018

This form must be completed by the physician and the parent/guardian and contain their signatures before any medication can be administered at City of Santee Recreation Program. If your physician would like your child to carry either an asthma inhaler or emergency medication (i.e. Epipen), part III must be completed by the doctor, parent and child. **THE PARENT OR ADULT REPRESENTATIVE MUST BRING ALL MEDICATIONS TO PROGRAM IN THE ORIGINAL CONTAINER.

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