Forms and payments can be mailed to:

P.O. Box 1281

Shepherdstown, WV 25443

or brought to Morgan Academy between 9:00 a.m. and 3:00 p.m. at:

8505 Shepherdstown Pike

Shepherdstown, WV 25443

Please print and complete this form with signatures in the appropriate sections.

This form can be emailed to summercamp@morganacademyWV.com or brought to the first day of camp.

Medicine Administration

Purpose: To enable parents and guardians to authorize or to refuse the administration of over-the-counter medications to the student.

YES, I give permission for _________________ to receive the following medications (i.e. Advil, Motrin, Neosporin) on an as-needed basis without my prior notification:

____________________________________________________________________________________

____________________________________________________________________________________

Parent/Guardian signature: _______________________       Date:_______________

Parent/Guardian signature: _______________________       Date:_______________

NO, I do not give permission for Morgan Academy staff to administer any medication without notifying me first:

Parent/Guardian signature: _______________________       Date:_______________

Parent/Guardian signature: _______________________       Date:_______________