Waivers, Fees & Forms

Please be sure to sign the electronic Friday Trip Prep/Catalina Trip waiver.

You will receive an email with the link to the waiver. Please read, sign and submit it online by Monday, 1/13/20. We cannot leave campus with your child without a waiver.

Medical Dispensation Authorization

If your student requires any prescription medication, any over the counter medications or any remedies while on any SBMS trips, we need to know about it. A first aid teacher will hold and administer all medication. If any medication will be required for the March Expeditions, please return this completed form and medications required, clearly labeled, to the SBMS office by Friday, March 6, 2020.

Click the form below for a downloadable copy.

Santa Barbara Middle School

AUTHORIZATION FOR DISPENSING MEDICATION

If your student requires any prescription medication, any over the counter medications or any remedies while on any SBMS trips we need to know about it. A first aid teacher will hold and administer all medication.

If any medication will be required for our March Expeditions, please return this completed form and medications required, clearly labeled, to the SBMS office by Friday, March 6, 2020. You may bring the medication later, if necessary, but please return the filled out form on time.

If you have any questions, please contact Lilli in the SBMS office: 805-682-2989 or < Lilli@sbms.org >

I, the undersigned, parent of __________________________, a minor, do hereby authorize the Santa Barbara Middle School staff to dispense the following medication to my child:

Medication: ________________________________________________________

Dosage and time to be given: ____________________________________________

Authorizing Signature: ___________________________ date: __________________

Parent’s name: ___________________________ Phone (h) _______________ (w) _______________ (c ) _______________

Please use the back of this form for any addition pertinent medical information or recent personal history that you think would be helpful to the staff in caring for your student?