Caring from the Heart: Babysitting Course Fundraiser

Caring from the Heart: Babysitting Course Fundraiser

Registration Form
First Name*
Last Name*
Date of Birth*
E.g: January 1, 2010
Age (must be 12 or older) *
Preferred Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent / Guardian Full Name*
Required if under 18 years of age
Parent / Guardian Contact Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Your Preferred Date:*

Saturday, November 29Sunday, November 30
Any allergies or medical conditions we should be aware of?*
Note:
- Registration Fee: $75 per student
- Event Location: Saint John Regional Hospital - Amphitheatre, Level 1
- Class Capacity: Each class accommodates up to 35 students
- Payment details will be provided by email after submitting this form. Your registration will be confirmed once payment is received.
- Included with your registration: Babysitting manual and certification card
- Items you should bring: a doll or stuffed animal, lunch, 2 snacks, and water bottle
Consent & Acknowledgement

By submitting this form, I:
- Understand that cancellations made less than 48 hours before the scheduled class are non-refundable.
- Give permission for my child to participate in this course and for First Aid Medic to contact me if needed.
- Acknowledge and accept that participation in the course is voluntary and involves some inherent risks. I release and hold harmless First Aid Medic, and the Saint John Regional Hospital Foundation from any liability for injury, loss, or damage that may occur during or as a result of participation in this event, except in cases of proven negligence.
- Grant permission for photographs and/or videos to be taken during the event for promotional or awareness purposes by First Aid Medic or the Saint John Regional Hospital Foundation. I understand that these images may be used in print, digital, or social media communications.
Should be Empty: