Consent for OTC Medication Garden City Ballet stocks non-prescription (over-the-counter) medications which may be given to dancers (under the age of 18) only with permission of a parent/guardian.Dancer's Full Name(Required)Dancer's Age(Required)Dancer's Date of Birth(Required)Parent/Guardian Contact Name(Required)Parent/Guardian Phone Number(Required)I give permission for Garden City Ballet to administer Ibuprofen (ex. Motrin and Advil) OTC medication as needed in accordance to the manufacturer’s recommendations to my child without contacting me at the time of administration.(Required) I give consent for Ibuprofen to be given to my dancer. I DO NOT give consent for Ibuprofen to be given to my dancer. I give permission for Garden City Ballet to administer Acetaminophen (ex. Tylenol) OTC medication as needed in accordance to the manufacturer’s recommendations to my child without contacting me at the time of administration.(Required) I give consent for Acetaminophen to be given to my dancer. I DO NOT give consent for Acetaminophen to be given to my dancer. Parent/Guardian Signature(Required)
