2026 Safe at Home Alone - Registration Form

Safe at Home Alone

Please select 1 class option below using the dropdown arrows. Call Safe Kids Grand Forks at 701.780.1489 to be added to the wait list for classes with no spots remaining.
Grand Forks, ND | 5.3.26 AM
Grand Forks, ND | 5.3.26 PM
Park River, ND | 5.9.26 PM
Grand Forks, ND | 6.10.26 AM
Grand Forks, ND | 6.10.26 PM
Grand Forks, ND | 8.3.26 AM
Grand Forks, ND | 8.3.26 PM
Name of Student Attending (1 form required for each student attending)*

First NameLast Name
Age of Student Attending*
Please list any food allergies for student attending.
Guardian Name*

First NameLast Name
Guardian Emergency Contact Phone Number (for day of class)*
Please enter a valid phone number.Format: (000) 000-0000.
By registering for this class, I grant permission for photos or videos taken during the event to be used for educational or promotional purposes by the organizers. I understand that these images may be used in print, online, or social media materials. I may revoke this consent at any time by providing written notice.*

I agreeI do not agree

Class Fee*

Nut-free snack will be provided. Please send student with a water bottle.

$20.00

Enter coupon

Total

$0.00

Credit/Debit 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 Safe Kids Grand Forks/JotForm along with your receipt of payment from Altru Health Foundation. A reminder email with details will be sent the week before class.

We understand that plans can change. Please take note of our guidelines and call 701.780.1489 to reschedule or cancel.
At least 1 week prior to class date - full refund
Less than 1 week prior to class date - 50% refund
Within 24 hours of class start time - no refund

Thank you for your understanding!
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