GENERAL PERMISSION SLIP - Download as DOC

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					                                 PERMISSION SLIP

Child’s Name:


  I,                                                            , give permission for my childcare
providers to use wipes, formula, and apply diaper rash ointment to my child(s) provided by
myself.


  I,                                                            , give permission for my childcare
providers to use wipes, formula, and apply diaper rash ointment to my child(s) provided by From
Time 2 Time. * (Applicable charges may be applied)


This permission slip is good for one year from the date signed.


Parent/Legal Guardian:                                                 Date:




Child’s Name:


  I,                                                            , give permission for my childcare
providers to use wipes, formula, and apply diaper rash ointment to my child(s) provided by
myself.


  I,                                                            , give permission for my childcare
providers to use wipes, formula, and apply diaper rash ointment to my child(s) provided by From
Time 2 Time. * (Applicable charges may be applied)


This permission slip is good for one year from the date signed.


Parent/Legal Guardian:                                                 Date:




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posted:4/20/2012
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