American Red Cross

Health & Safety

Babysitter Training

Course Registration Form
Wayne Pike Chapter
Together, We Can Save A Life!

Please submit the registration form at least two full workdays prior to the program start date.  All courses are limited in size.  Participants are accepted on a first registered, first enrolled basis.  No registrations may be accepted without payment in full.  The American Red Cross reserves the right to cancel any session with less than six (6) participants or in the event of unsafe weather conditions.

Date 
Name (First, MI, Last)
Address
Daytime Phone Evening Phone
Email
 
Course    Babysitter Training
Date   Time 
Location  
Prerequisites     All students must be at least 11 years of age
Materials needed   included
Fee  $45.00 (includes lunch, manual, and first aid training kit)   Checks payable to the American Red Cross
My son/daughter has permission to participate in the American Red Cross Babysitters Training on (date)_________.  He/she is at least 11 years old and able to participate in all class activities
Parent Signature
Return form with payment to: American Red Cross
1111 Main Street
Honesdale, PA 18431

Master Card/Visa accepted - call 253-2310 to register by phone

 

Office Use Only:
Payment Method
Cash Check # Credit Card
Invoice #
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