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Medication

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As the Parent(s)/Guardian of

Child's name

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I/we herewith request Discovery Charter School permits our child to carry and use an inhaler while on school property or at an approved school event off school property. I/we agree to comply with the rules and regulations of the school district and hereby agree to save and hold harmless the Discovery Charter School from and against any and all losses claims, damages, or expenses, which may arise as a result of granting this request.

Parent/Guardian's signature

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Date:

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