Shaken Baby Syndrome Brochure and Parent Signature Form Shaken Baby Syndrome Brochure and Parent Signature FormClick here to download Shaken Baby Brochure-English Click here to download Shaken Baby Brochure-SpanishParent's Name* First Last Child(ren) Name*Check the box beside the statement:* I confirm that I am the parent/guardian of and have received and read the "You Can Prevent Shaken Baby Syndrome" literature provided to me by The Children's House Montessori School. Signature*Date Date Format: MM slash DD slash YYYY
