JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Authorization to Administer Acetaminophen
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Students Name
*
Your answer
Student's current weight (pounds)
*
Option 1
Required
Student's school for 22-23 school year
*
Choose
Early Chidhood Center
Campbellsburg
Eastern
New Castle
HC Middle School
HC High School
Parent/Guardian Name:
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Henry County Public Schools.
Report Abuse
Forms
