2023 SUNSCREEN PERMISSION FORM

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Lighthouse Montessori School

My child's first name: *

My child's last name: *

As the parent/guardian of the above child, I recognize that too much exposure to UV rays increases my child’s risk of getting skin cancer in the future. I give permission for the staff at lighthouse Montessori School to apply a sunscreen product that is broad spectrum with SPF 15 or higher to my child, as specified below, when he/she will have outdoor playtime in the afternoon, during the month May through October after 3:00 p.m.I understand that sunscreen may be applied to exposed skin, including but not limited to the face(except eyelids), tops of ears, nose, bare shoulders, arms, and legs. *

Yes

Required

Please choose one option below: *

I am not aware of any allergies. Lighthouse may apply sunscreen (Coppertone Kids Sunscreen Lotion SPF 50, Water Resistant Sunscreen for Kids) provided by Lighthouse on my child.

I WILL PROVIDE sunscreen to be applied on my child. My child may have allergies to some sunscreens.

For MEDICAL or OTHER REASONS, please DO NOT APPLY sunscreen to the following areas of my child’s body.

I understand that Lighthouse Montessori School will not apply sunscreen to students in the morning. Parents are suggested to apply sunscreen to children in the morning before arriving at school. *

Yes.

Required

Parent/Guardian’s Name: *

I have the following concerns about sunscreen:

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