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Sunscreen and Insect Repellent

Required

We only require BUCA and School's Out! benefits users to complete this form.
Must contain a date in M/D/YYYY format
Sunscreen and Insect Repellent

Aerosol sprays and combined sunscreen and insect repellent are prohibited. Sunscreen/sunblock must provide UVB and UVA protection with an SPF of 15 or higher. All sunscreen/sunblock and insect repellent provided by a parent/guardian must be:
• provided in the original container;
• clearly labeled with the child’s full name;
• within the expiration date;
• appropriate for the age of the child.

Single Choicerequired
By typing my name in the box below box I give permission for sunscreen to be applied.
Must contain a date in M/D/YYYY format
By typing my name in the box below box I give permission for insect repellant to be applied.
Must contain a date in M/D/YYYY format