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PERMISSION TO ADMINISTER I hereby give permission to to administer the following products to my child, according to the manufacturers instructions or as stated below. No Yes Product Brand No Yes Product Brand Diaper Wipes Baby Oil Diaper Ointment Baby Lotion Teething Ointment Pain Reliever Vaseline Lip Gloss Cough Syrup Rash Cream Cold Cream Bar Soap Band Aids Nail Polish Antiseptic Wipes Itching Creams Others Hydrogen Peroxide Insect Repellent Sun Screen Liquid Soap Shampoo Toothpaste Baby Powder Comments: Parent’s Date: