TRAINING CONSENT Individualized Plan and Emergency Procedures for a Child with an Anaphylactic AllergyI Parent/Guardian*hereby confirm that:(a) I have trained the person(s) named in the Trainee Confirmation below (Table 1) on my child’s Individualized Plan and Emergency Procedures on Click here to enter text. (date), and (b) I give consent to the person(s) named in the Trainee Confirmation (Table 1) below to train any other staff, students and volunteers (Table 2) who may be interacting with my child to perform the procedures detailed in my child’s Individualized Plan and Emergency Procedures.Parent/Guardian*Date* DD dash MM dash YYYY Trainee ConfirmationName of Trainee*Position*Date Training Received* DD dash MM dash YYYY Date Signed* DD dash MM dash YYYY Training Log for Staff, Students, and VolunteersName of Individual*Position*Date Training Received* DD dash MM dash YYYY Date Signed* DD dash MM dash YYYY Consent* By checking this box you are agreeing the terms and conditions mentioned on the form and also confirming that the information above is accurate.*CAPTCHANameThis field is for validation purposes and should be left unchanged.
