Babysitting Basics
Tuesday, June 30, 2026 | Grades 4-7| Located at the Madison County Extension Office| 9 AM to 3 PM | Cost: $30
Email
example@example.com
Registrant Name
First Name
Last Name
Guardian Name
First Name
Last Name
Registrant Age
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is registrant part of 4-H? (This is not a requirement to take the course)
Yes
No
Gender
Male
Female
Please list any allergies that the youth may have:
Course Registration Fee -
My child will bring their $30 registration fee on the day of the event.
Please send me an invoice to pay the $30 registration fee online via email. I understand there will be a 4 % processing fee.
Please email me more information about financial assistance.
Submit
Should be Empty: