Safe Sitter - Monday, March 23, 2026
This one-day course is designed to prepare students in sixth through eighth grade to be safe when they are home alone, watching younger siblings, or babysitting.
Student Information
Student Name
*
First Name
Last Name
Student Date of Birth
*
Gender
Grade Level
*
School District
*
Parent/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone
*
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional Questions
As a parent/guardian, I will take all responsibility for deciding whether my child is capable and mature enough to babysit even after completing this course.
*
Yes
No
As a parent/guardian, I understand the importance of having my child arrive on time for this class.
*
Yes
No
I do/do not authorize Mile Bluff Medical Center to utilize photos of my child for marketing purposes of the Safe Sitter course, including but not limited to digital marketing (social media, website), and print marketing (brochures and flyers).
*
I DO allow Mile Bluff to utilize photos of my child to promote this class.
I DO NOT allow Mile Bluff to utilize photos of my child to promote this class.
In the Safe Sitter course, a great deal of information is presented in a short period of time. While this course is filled with fun games and role-playing exercises, some students are unable to keep up with the pace. Because we want every child to succeed, please let us know if there is anything that would help your child be more successful in the class.
Registration fee
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Monday, March 23, 2026 - Safe sitter registration
Supports class materials
$
20.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Parent Signature
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