Safe Sitter Class Registration

Student Name

First NameLast Name

Parent/Guardian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

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Parent Email

example@example.com

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Student Age

Student Grade

School Student Attends

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Class Option

Safe Sitter Class

Safety Skills

Students learn how to prevent unsafe situations and what to do when faced with dangers such as power failures or weather emergencies.

Child Care Skills

Students learn tips to manage behavior that will help them stay in control of themselves and the children in their care. Students also learn the ages and stages of child development, as well as practice diapering.

First Aid & Rescue Skills

Learning skills such as choking rescue and CPR is often students’ favorite part of the class. Students also learn a system to help them assess and respond to injuries and illnesses. (CPR is included.)

Life & Business Skills

The ability to screen jobs, discuss fees, and greet employers will set students up for success now and in the future. Students practice these skills through various role plays.

$60.00

Total

At this time, all classes must be paid over the phone BEFORE class. Click YES to acknowledge you must call 785-452-7600 to pay over the phone before the class date. Due to having to purchase equipment and supplies, there will be no refunds.

The Safe Sitter class is being held at Salina Regional Health Center. We want everyone to have fun while also respecting that we are in a hospital where people are healing.

All attendees are expected to follow these guidelines:

Use Indoor Voices
- Speak quietly and avoid yelling or screaming.
- Listen when others are talking.
Keep Hands and Feet to Yourself
- No roughhousing, wrestling, pushing, or play fighting.
- Respect everyone's personal space.
Show Maturity
- Make thoughtful choices.
- Follow directions the first time they are given.
- Be a positive role model for others.
Be Respectful
- Use kind words and encouraging language.
- Treat classmates, staff, and hospital visitors with respect.
Stay Safe
- Walk at all times—no running.
- Use materials and equipment appropriately.
- Stay with the group, unless given permission to leave.
Be Responsible
- Participate in activities.
- Clean up after yourself.
- Take care of supplies and the classroom space.
Be Considerate
- Remember that patients and families nearby may be resting or receiving care.
- Help create a calm, welcoming environment.

Our Goal: Have fun, learn something new, and help make the hospital a safe, peaceful place for everyone.

Parent Signature: I understand my child will be held to the standards as listed. I understand at this time there are no refunds. I understand that at this time, if my child becomes disruptive, I will need to come and pick them up as there will not be staff available to monitor him or her outside of the classroom.

Student Signature: I understand I will be held to the standards as listed. I will follow instructions and do my best.

Safe Sitter Class Registration

Class Option*

Class Option