Give Someone You
Love A Gift
Certificate
for a
Let Me Do That
!
Caregiver
Medical Waiver                    Swimming Waiver                Transportation Waiver
Medication Release: (optional)

I, _________________________________________ hereby give my
consent for a Let Me Do That! caregiver, who works as an independent
contractor caring for children in my home/hotel, to administer medication to my
child(ren).  I understand that Let Me Do That! caregivers are not medically
trained. I hereby release, discharge and hold harmless Let Me Do That!, its
employees, agents, officers from any and all claims relating to the dispensing
and administering of medication to my child(ren).

___________________________          ____________________________
Signature                                                      Date
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