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These two forms are for every event or trip that requires students to turn-in their medications. This keeps them safe, you safe, and your group safe. These forms are made so you can customize them if you choose to use different language. Simply have parents fill out the form, provide zip-lock baggies for parents to place medications into, and assign a sponsor of staff member to be in charge of distribution.

CAUTION: Before distributing these forms, have your church administration review, edit as necessary, and okay their use.

This Resource Includes:
• Two types of medication intake forms (Word files)

Note from the Author

Have zip-lock bags and Sharpies ready!

Student Medication Forms

Availability: In stock

retail: $4.00
Simple intake form for medications. Safety is key. These forms keep everyone safe and allows for accountability with medications on trips and events.
retail: $4.00
Gold Member Price:

Regular Price: $4.00

Special Price $2.60


Bobby Cooley

Bobby is a Discipleship Pastor in Katy, TX. He loves pouring into the next generation and their parents to build lifelong followers of Jesus.

He loves his wife and three blue eyed kids, great BBQ and the outdoors.

"I love being a part of DYM and helping youth workers win!" - BC

You can become an author, too!
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Free Ebook by Doug Fields

There are plenty of people who are grateful that you do what you do. Your students are, their families are, and your church is, even though they may not say it often enough. I want to say thanks on behalf of them, and model the way we need to be saying thanks to the leaders that serve alongside us—in ten different ways—through this ebook.

Thank YOU!