ECC Permissions and Waivers

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Email *

Parent/Guardian filling out this form. *

Child's Name(s) *

Diaper cream, sunscreen, and other topical non-prescription creams (please note: sunscreen will only be applied to children 6 months of age or older): *

I give the ECC permission to apply diaper cream, sunscreen, and other topical (non-prescription) creams and lotions to my child. I understand that I will provide all sunscreen/cream/lotion that will be applied.

Insect Repellent (Select one): *

I give the ECC permission to apply insect repellent (that I provide) to my child.

I will fill out a medication slip if I want the ECC to apply insect repellent.

Field Trips (any departure from our property including neighborhood walks and emergency evacuation requires this permission.) *

I give my permission to the ECC for my child to be transported and/or participate in field trips.

External use of photos/media (select one): *

I give permission for the JCC to record or photograph my child for external use (publicity).

Please ask me before my child's photo is used for external uses.

I DO NOT give permission for media of my child to be used for advertising or media purposes.

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