Permission to Administer Medication
During School Hours

St. Johns Grammar School has my permission to administer medication to my child,

____________________________, by following:

1.                  THE DOCTOR’S DIRECTIONS WRITTEN ON THE LABELED DRUG

CONTAINER.  OR

2.                  AS DIRECTED BELOW BY PARENT/GUARDIAN.

__________________________________________________________________________________________________________________________

St. Johns Grammar School has my permission to administer medication to my child,

____________________________, by following:

1.      THE DOCTOR’S DIRECTIONS WRITTEN ON THE LABELED DRUG

CONTAINER.  OR

2.       AS DIRECTED BELOW BY PARENT/GUARDIAN.

__________________________________________________________________________________________________________________________

By signing this permission form, I agree to not hold St. Johns Grammar School liable for any ill-effects of these medications.

__________________________________________                    _________________

SIGNED BY PARENT/GUARDIAN                                               DATE