Emergency Medical and Emergency Preparedness Staff Sign Off

Emergency Preparedness & Response Plan
Please read through the current EPR plan for WPCC and then sign below acknowledging that you have read and understand the WPCC EPR plan.
First & Last Name
By signing below, I acknowledge that I have read and understand the White Plains Children’s Center Emergency Preparedness and Response Plan.
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Emergency Medical Care Plan
Please read through the current EMC plan for WPCC and then sign below acknowledging that you have read and understand the WPCC EMC plan.
First & Last Name
By signing below, I acknowledge that I have read and understand the White Plains Children’s Center Emergency Medical Care Plan. I know that this plan is posted within each classroom for my reference.
Signature*

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Date*

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Date
Due Date

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