# Sunscreen and insect repellent permission form

Source: https://backpr.com/resources/templates/sunscreen-and-insect-repellent-permission. Last updated: 2026-10-22.

Parent permission for staff to apply sunscreen and insect repellent, with the products to use, skin allergies and age limits from AAP and CDC guidance.

Free download: PDF https://backpr.com/media/templates/backpr-sunscreen-and-insect-repellent-permission.pdf · Word https://backpr.com/media/templates/backpr-sunscreen-and-insect-repellent-permission.docx

> We protect children from sun and bugs when they play outside. Check each one you agree to, and choose your product or ours. Leave a box blank to say no. This permission lasts until [date, or the end of this program year] unless you change it in writing.

**Child**
- Full name: ______
- Date of birth: ______
- Room or group: ______

**Sunscreen**
We use broad-spectrum sunscreen with an SPF of at least [15], as AAP advises. We put it on [15 to 30] minutes before outdoor time and put more on every 2 hours and after water play or heavy sweating.
- [ ] Staff may put sunscreen on my child
- [ ] Use the sunscreen I send (labeled with my child's name)
- [ ] Use the program's sunscreen: [brand and SPF]
- Sunscreen brand and SPF (if you send it): ______

**Babies younger than 6 months**
AAP advises keeping babies younger than 6 months out of direct sun. We use shade, hats and light clothing that covers arms and legs. If shade and clothing aren't enough, we'll put a small amount of sunscreen on small areas, such as the face, only if you checked the first sunscreen box.

**Insect repellent**
We follow AAP and CDC guidance. We don't use insect repellent on babies younger than 2 months, and we don't use oil of lemon eucalyptus (OLE) or PMD on children younger than 3. We don't use products that combine sunscreen and insect repellent. Staff put repellent on after sunscreen, only on exposed skin [and clothing]. They don't put it on children's hands or on cuts or irritated skin, and they keep it away from eyes and mouths. For the face, staff put repellent on their own hands first. [We wash it off with soap and water when children come inside, or we ask you to wash it off at home.]
- [ ] Staff may put insect repellent on my child
- [ ] Use the repellent I send (labeled with my child's name)
- [ ] Use the program's repellent: [product and active ingredient]
- Repellent product and active ingredient (such as DEET or picaridin), if you send it: ______

**Skin allergies and other products**
We use other skin products only as you list them here. Medicine for a rash or other skin condition needs our medication authorization form.
- Skin allergies or sensitivities (such as to a sunscreen ingredient): ______
- Other skin products staff may use, and when (such as lip balm, lotion or diaper cream): ______

**Parent or guardian**
I give permission for staff to use the products I've checked on my child. I'll tell the program in writing if anything changes.
- Parent or guardian's printed name: ______
- Parent or guardian signature: ______
- Date: ______

### How to use it
- This form follows sun safety and insect repellent guidance from the American Academy of Pediatrics (AAP) and the CDC. Ask your health consultant or the child's health care provider if you have questions about a product or a child's skin.
- Check your state's licensing rules. Some states treat sunscreen, insect repellent and diaper cream like non-prescription medicine, with their own rules on written permission, labels and how long permission lasts. Find your state's rules at backpr.com/resources/states.
- Keep a list of which children may have sunscreen and repellent, and which products, in each group's outdoor bag.
- Plan shade, hats and water breaks too, and schedule outdoor time outside the hottest part of the day when you can. Sunscreen is only one part of sun safety.

**Do daycares need permission to put sunscreen on children?**
It's good practice to get written permission from a parent or guardian first, and some states require it. Ask about skin allergies, and let families choose whether to send their own sunscreen. Check your state's licensing rules for how often to renew the permission.

**Can you put bug spray on a baby?**
Not on babies younger than 2 months, according to the CDC. For older children, AAP and CDC advise an EPA-registered repellent, kept off hands, eyes, mouths and cuts. Don't use oil of lemon eucalyptus on children younger than 3, and don't use products that combine sunscreen and repellent.

Free to use and change, but not legal or medical advice. Check your state's licensing rules and your insurer's requirements, and have a lawyer review any consent or waiver language.