Hygiene Release Form

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In our classroom (and at home) we will work on hygiene to increase each child's self-help skills. These activities are a great way to work on becoming independent at taking care of oneself. These activities can occur daily, weekly or monthly depending on each student's needs. It may involve your child:
- Brushing Teeth
- Putting on lotion
- Washing Face
- Putting on Deodorant
- Combing Hair
- Clipping Fingernails

I will be purchasing materials for this unit and will drop them off at your home while we are doing virtual learning (if requested by parent). Please indicate below whether or not you give your child permission to participate. If you have any concerns or questions about this unit, please feel free to contact me using the informaion provided in the welcome letter.

Your Child's Name *

Parent Name *

Indicate your permission: *

I DO give permission for my child to participate in hygiene skills.

I DO NOT give permission for my child to participate in hygiene skills.

Do you need a hygiene kit delivered to your home for your child (will include: toothbrush, toothpaste, travel size deodorant and a comb/brush) *

Yes, please deliver a hygiene kit for my child

No, I do not need a hygiene kit delivered for my child

Please list the address that you would like the hygiene kit delivered to for your child. *

Parent Initials *

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