Smart Sitter babysitting class

Location/Date (please pick 1)

Name of Child Attending (1 form required for each child attending)

First NameLast Name

Age of Child Attending

Please list any food allergies for child attending. (Note that students do practice making a bottle and will be exposed to different types of baby formula powder.)

Guardian Name

First & Last Name

Guardian Emergency Contact Phone Number (for day of class)

Please enter a valid phone number.Format: (000) 000-0000.

Registration fee is $50.00 per child. Lunch will be provided.

USD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Guardian Email - Confirmation & Reminder will be sent to this address

example@example.com

A confirmation email will be sent from JotForm along with your receipt of payment from Altru Health Foundation. A reminder email with details will be sent the week of class.

If for some reason you need to cancel your registration, please do so at least 1 week prior to the class date by calling 701.780.1489 for a full refund. If it is less than 1 week before the class date, we will be able to issue a 50% refund. Cancellations less than 24 hours before the start of class will not be issued a refund.

Smart Sitter babysitting class

Registration fee is $50.00 per child. Lunch will be provided. *

Registration fee is $50.00 per child. Lunch will be provided.