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Free Childcare Form

Sunscreen & Insect Repellent Authorization

Give families a clear way to authorize sunscreen and insect repellent use while their child is in care.

Information entered here stays in your browser and is not saved to CubbyTrack.
Sunscreen and insect repellent authorization requirements vary by jurisdiction. Follow product directions, your center policies, and applicable childcare licensing requirements.

Sunscreen & Insect Repellent Authorization

Childcare Parent / Guardian Permission

Child Information

Sunscreen Authorization

Insect Repellent Authorization

Application Instructions

Allergies / Skin Sensitivities

Parent / Guardian Authorization

I authorize the childcare program to follow the permissions and instructions selected above. I will notify the program if these instructions or my child's sensitivities change.

Parent / Guardian Signature

Date

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