2022-2023 Medication Authorization
Please complete this form.  This form gives the Lake Travis band directors/chaperones permission to dispense the medication indicated, as needed. For the email address below, you must enter a parent's email address.
NOTE: If form complete multiple times the most recent submission will be used and previous submissions will be deleted.
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Email *
Student Last Name *
Student First Name *
Grade *
Date of Birth *
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