Request for Babysitter Card

Request for Babysitter Card

Please fill out 1 form for each babysitter.
Date Card Requested*

MonthDayYear
Date
Expiry Date Requested*

MonthDayYear
Maximum of 2 months.
Member's Name*
Member's Address*
Babysitter's Name*
Babysitter's Age*
*Note: Babysitter cards will only be issued to babysitters who are over the age of eighteen.
Address*

**Note: Babysitter cards will not be issued to babysitters who are residents in the Auburn Bay community.

Street Address Line 2

CityState / Province

Postal / Zip Code
Resident children who will be entering the park with the babysitter:
Child #1
Age
Child #2
Age
Child #3
Age
Child #4
Age
Iresident name* permit babysitter name* to enter the Auburn Bay Residents Association park and facility and use the Auburn Bay Residents Association amenities with only the above-mentioned children. I assume full responsibility for my babysitter and children and their actions at all times while they are accessing any of the ABRA amenities. I am aware that all members and guests are permitted to use the ABRA amenities at their own risk and are subject to ABRA rules and regulations. I am aware that my babysitter is not permitted to rent boats, SUP boards, or sign in non-resident guests.
Dated this blanks* day of blank*, 20year*
Member's Signature*

Clear
Email Address*
example@example.com
Should be Empty: