Babysitting 101 Registration Form · Babysitting 101 Registration Form Use this form to register...

-This class is offered in partnership with the WESD Enrichment Program-

This Babysitting and First Aid training provides

instruction on the skills that are necessary to

administer responsible and safe care for children

and infants. Learn basic care giving skills, what

to do in an emergency situation, CPR/First Aid,

house safety rules and job finding tips. Receive

a Babysitting Certificate, a CPR Review Card

and a Babysitting Checklist upon completion!

WHEN: Thursday, June 2, 2016

TIME: 12:30 to 4:30 p.m.

WHERE: Mountain Sky School Library

WHO: Boys & Girls ages 11-16

COST: $45 (Payable to: In A Heartbeat)

INSTRUCTOR: Nurse Judy Edgell

MORE INFORMATION: 623-332-2139

inaheartbeat l lc@gmai l .com

@MOUNTAIN SKY JUNIOR HIGH

PREPARE YOURSELF FOR MANY SUCCESSFUL

BABYSITTING JOBS!

Babysitting & First Aid Training

Student Name: ______________________________________________________ Age: _________ Parent Name: _____________________________________________________________________ Address: ______________________________________ City: _______________ Zip: __________ E-Mail: ___________________________________________________________________________ Phone #1: _______________________________ Phone #2: _______________________________ Emergency Contact Name & #: ________________________________________________________

$45 Class Fee Enclosed: $___________________ Cash Check (Payable to: In A Heartbeat)

A $10 fee will be charged for all NSF checks (in addition to the principle amount of the check).

V i e w i n f o r m a t i o n o n l i n e a t : w w w . w e s d s c h o o l s . o r g

________________________________________________________________ ___________________ Parent/Guardian Signature (Required) Date

Babysitting 101 Registration Form Use th is form to regis ter your chi ld for the above named c lass by 6/1/16 .

Return registration & payment to Mountain Sky Junior High, 16225 N. 7th Ave. Phoenix, AZ 85023. For additional information, please contact In A Heartbeat, Judy Edgell at 623-332-2139.