I hereby acknowledge that I am primarily responsible for administering medications to my child. However, in the event that I am unable to do so, or in the event of a medical emergency, I hereby authorize Lowpoint-Washburn School District and its employees and agents, on my behalf and stead, to administer or attempt to administer to my child (or allow my child to self administer, while under supervision of employees and agents of the school district), the medication described below. I acknowledge that it may be necessary for the administration of the medications to my child be performed by an individual other than a school nurse, and specifically consent to such practices. I further acknowledge and agree that when the medication listed below is so administered or attempted to be administered, I waive claims I might have against the school district, its employees, and agents arising out of the administration of said medication. In addition, I agree to hold harmless and indemnify the school district, its employees, and agents, either jointly or severely, from and against any and all claims, damages, causes of action or injuries incurred or resulting from the administration of said medication. Pain medication will not be dispensed during the last 40 minutes of the school day.

THE SCHOOL DISTRICT WILL NOT PROVIDE ANY NON-PRESCRIPTION MEDICATION (such as Tylenol or Motrin)

PARENTS OR GUARDIANS MUST PROVIDE ANY NON-PRESCRIPTION, OVER THE COUNTER MEDICATION FOR THEIR OWN CHILD. IT MUST BE SENT IN THE ORIGINAL CONTAINER, WITH THE EXPIRATION DATES CLEARLY READABLE AND THE CHILD’S NAME ON THE CONTAINER.