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Confirmation of Practical Vaccination Training

Welcome to the online enrolment form for the Annual Flu Vaccination Refresher Training Course.

This course consists of:

  • Online learning for Flu

Please note: If you are delivering Travel Vaccinations, you must ensure you have the appropriate knowledge relating to travel diseases and vaccinations.

 

Confirmation of Practical Vaccination Training

  • I have successfully completed practical vaccination training within the last 24 months, covering vaccination technique, basic life support and anaphylaxis management AND can evidence this by providing a valid certificate of completion

Learner Details

This is your full legal name that will appear on your certificate

Additional Details

Do you consider yourself to have a disability or health problem?
Do you consider yourself to have a disability or health problem?
Do you consider yourself to have a learning difficulty?
Do you consider yourself to have a learning difficulty?

Company Details

If you are purchasing privately - skip this section.
Company Address

Invoice Details

Please complete this section. Add your details if purchasing privately or your company details if they are funding your training.
Invoice Address
Invoice Permission

Private Patient Group Directions (PGDs)

If you wish to purchase private PGD(s) in addition to your practical training, please confirm your requirements below
Private PGD Requirements

Data Protection

Under UK and European Data Protection legislation, data from which living individuals can be identified are classed as ‘personal data’. The handling of personal data has to comply with legal requirements covering such things as the way in which this information is acquired, how it is processed and the extent to which it is disclosed or transferred to others. Buttercups Training needs to store data about you and your course progress. It will be used in accordance with the relevant legislation, including the GDPR 2016 and the Data Protection Act 2018. If you have any questions about the use of the data collected by Buttercups Training, please view our Privacy Notice or contact GDPR@buttercups.co.uk.
Data Protection Agreement
Data Protection Agreement
  • I hereby give my consent to the storage of personal information about me and my course progress
  • I understand that this information may remain available and in storage after I have finished my course of study