Camper Camper First Name * Camper Last Name * Notice Maryland regulations * The Maryland Department of Health and Mental Hygiene (MDHMH) encourages the appropriate use of sunscreen and insect repellent during summer activities. They no longer consider sunscreen a medication requiring prescriptive order: parental authorization is sufficient. 1. Sunscreen and insect repellent must be provided by the parent or guardian. 2. Sunscreen and insect repellent must be in their original containers. 3. The Camper’s name must be clearly marked on the sunscreen and insect repellent containers. I hereby give permission for my child to use sunscreen and insect repellent during the camp day. I will provide sunscreen and insect repellent in their original containers with my child’s name clearly written on the package. I have listed below acceptable sunscreen and insect repellent brands: Insect Repellent brand(s) * Sunscreen brand(s) * Authorization Authorization * I authorize the camp staff to assist my child in applying sunscreen and insect repellent . I DO NOT authorize the camp staff to assist my child in applying sunscreen and insect repellent. Signature Please type your name here as signature of the form above: * Form should be completed by parent or legal guardian. Email address *
