Safe Sitter – Class 2

Sign Up Form – Safe Sitter Class 2

Classes are limited.

Tuesday, June 4th, 2024 @ 9:00 am – 2:00 pm

Student Name *

First

Last

'23 to '24 Grade *

Fifth Grade
Sixth Grade

Contact Phone Number *

Contact Email *

A confirmation that your student is registered for this course will be sent to this email, in addition to a reminder.

Select your Session *

Tuesday, June 4th from 9 a.m. - 2 p.m.

Are there any dietary restrictions we need to be aware of when planning for our snack?

In addition to a snack, Pizza Ranch will be served as a noon meal. Please let us know if we need to make any accommodations for your child.

By checking the first box, I hereby consent my child be photographed while participating in the Babysitter Basics class at Hegg Health Center. The term "photograph" includes video or still photography, in digital or any other format, and any other means of recording or reproducing images. I authorize the use of photographs taken of my child be used in order to assist with educational, public relations, marketing, news media, treatment, and charitable goals, and I hereby waive any right to compensation for such uses by reason of the foregoing authorization.

I consent
I refuse to consent to this authorization and prefer my child be excluded from photographs. My refusal will not affect my child's ability to participate in Babysitter Basics.

Total

Price: $ 25.00