1. I have read and understood the vaccine information, including known side effects.
2. I consent to the administration of the Nasal Flu Vaccine.
3. I am authorised to give consent on behalf of the above-named child.
4. I consent to the above-named child receiving the flu vaccine.
5. I will inform the school on the date of the vaccination clinic if my child:

• has severe asthma or if they have been wheezy or needed their inhaler more than usual in the 3 days before the vaccine
• is living with someone who has a severely weakened immune system (for example, a person who recently had a bone marrow transplant)
• has taken antiviral medication for flu within the previous 48 hours