Cps Training Sign Off
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CPS Training Sign-off Sheet Name: _______________________________________________ Date:_________ Make of Car: __________________________________ Model Year: __________ Rear Seat Outboard:
Rear Seat Center:
Belt System Lap Only Lap/Shoulder
Belt System Lap Only Lap/Shoulder
Type of Latch Plate Locking Sliding Lightweight Switchable
Type of Latch Plate Locking Sliding Lightweight Switchable
Type of Retractor None Emergency Locking Switchable Automatic Locking Type of Airbag None Front
Side
Type of Retractor None Emergency Locking Switchable Automatic Locking Type of Airbag None Front
Side
LATCH System: Tether Lower Anchors
LATCH System: Tether Lower Anchors
Instructor Initials: _________________
Instructor Initials: ______________
Child Restraint System: Rear Facing Seat Infant Seat RF Convertible
Forward Facing Seat Five Point Harness Tray Shield
Demonstrated Correct Installation:__________
Demonstrated Correct Installation:___
Rear Seat Center:
Belt System Lap Only Lap/Shoulder
Belt System Lap Only Lap/Shoulder
Type of Latch Plate Locking Sliding Lightweight Switchable
Type of Latch Plate Locking Sliding Lightweight Switchable
Type of Retractor None Emergency Locking Switchable Automatic Locking Type of Airbag None Front
Side
Type of Retractor None Emergency Locking Switchable Automatic Locking Type of Airbag None Front
Side
LATCH System: Tether Lower Anchors
LATCH System: Tether Lower Anchors
Instructor Initials: _________________
Instructor Initials: ______________
Child Restraint System: Rear Facing Seat Infant Seat RF Convertible
Forward Facing Seat Five Point Harness Tray Shield
Demonstrated Correct Installation:__________
Demonstrated Correct Installation:___
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