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Get Wadsworth Band Standing Order Over-the-counter Medication (otc) 2014-2024

E 2013-14 School Year For: (Student s Name) (Date of Birth) I do not wish to have any over the counter medications administered to my child without contacting a parent/guardian for permission. Signature of Parent/Guardian Date OR Please check the box of any or all over the counter oral medications which can be administered to your child during the times that your child is accompanied by band parent chaperones. Acetaminophen (Tylenol).

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