243 Crescent Street, Brockton, MA  02302
508-588-2700

My Child, ________________________________________________, has my permission to use the
sprinklers at Brockton Day Nursery.
 

___________________________________________
(Parent/Guardian)

___________________________________________
(date)
 

NOTE: If your child has old sandals or water shoes, please bring them in along with a bathing suit and towel.

I give permission to Brockton Day Nursery Staff to apply sun-screen and/or insect repellent on my child during the summer months. I am sending in products that I want used on my child. Specific directions are noted below.

Sunscreen Product Name:
Directions for use:


 

Insect Repellent Name:
Directions for use: