Summer Splash Child Care Program

Summer Splash Child Care Program Medical Release Form

I, hereby give St. John Lutheran School’s Summer Splash Child Care Program permission to treat any minor injuries such as bumps, scrapes and scratches that my child/ren may obtain through normal activity. Such treatment consists of general first aid use of adhesive bandaging with antibiotic ointment or ice packs.

I also give permission to administer any emergency first aid/CPR that is necessary including the use of 911.

Handbook Received

The Summer Splash Child Care Program handbook is designed to inform parents of the program and what their children do under its care. Please take time to fully read the handbook. You (parent or guardian) are agreeing to the terms set in the handbook when you register your child in the program. Please sign below and return this page to the Summer Splash Child Care Program Director or office attendant. Questions can always be directed to the program director in person or by calling 989.734.3580.

My Child’s Health

I verify that:

1. My child is in good health with activity restrictions noted.
2. The child’s immunizations are up-to-date.
3. The immunization record or appropriate waiver is on file with the child’s school.

General Field Trip Permission Form

Throughout the year we may be leaving the premises of St. John’s for short activities such as a nature walk or a trip to the park. The children will be walking on these short trips. It’s an opportunity for exercise, fresh air, and observing the wonders of God’s creation! The children will be taught all necessary safety precautions. Please sign and return this note so that it may be kept on file.

NOTE: This permission form will NOT be used for any long trips involving transporting the children in vehicles. A separate permission form will be sent home for such events.

Do not hesitate to ask if you have any questions or concerns. Thank you!