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2016 2017 REGISTRATION BALLARD COMMUNITY SCHOOL DISTRICT PRESCRIPTION MEDICATION ADMINISTRATION FORM **MEDICATION MUST BE IN ORIGINAL CONTAINER WITH DOCTORS ORDERS VISIBLE** Student: Age: Birth Date:
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Anyone who wants to grant permission to someone else.
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Parents or legal guardians giving permission for their child's activities or medical treatment.
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I Give My Permission is a form or consent given by an individual allowing a specific action or decision to take place.
Individuals who need to grant permission for a particular action or decision are required to file I Give My Permission.
I Give My Permission form can be filled out by providing necessary information and signatures as required for granting consent.
The purpose of I Give My Permission is to officially grant authorization for a specific action or decision.
I Give My Permission form may require details such as name of individual granting permission, details of action or decision being permitted, and signatures.
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2017 2016 recd Feb FOLOWING Jan DESIGNEE Apr Oct Nov Sept Aug notations Dec Dismissal BALLARD ADMINISTER

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