Babysitting Course

Babysitting
Course
This course will teach basic care for children and infants, how to be a good leader and
role model, problem solving, how to keep yourself and children safe, how to handle
emergencies, developing your résumé and interview skills to help start your own
business. You will also learn CPR for infant and child, including how to handle
choking, and basic first aid. You must attend both days for receive the certifications.
Upon passing the course, we will award three Red Cross Certifications for Babysitting,
CPR and First Aid. Your child will also receive materials including a CD rom with even
further information. Come join us for this fun filled class chock full of great
information.
Class size is limited to 8 participants
(Minimum of 3 enrolled participants to have the class).
(Notification of cancellation will be given 24 hours before class)
Please pack a lunch, drink and snacks.
Upcoming Class Time and Dates
October 7 th and 8th
Sunday 1 pm until 5 pm
Monday 9 am until 4 pm
Cost is $105 for members, $155 for non members
for the entire course, including class materials
Please register in person at the Taylor Family YMCA
Call 365-9622 for more information.
Financial Assistance is available upon request.
Class fee cannot be refunded.

Babysitting Course Registration
October 7 th and 8 th
@ the Taylor Family YMCA
WHO CAN ATTEND:
9 years and up
PARTICIPANT NAME______________________________________________________________________________________SEX (M) or (F)
BIRTHDATE_________/__________/_________ Age: _______________
EMAIL ADDRESS_______________________________________________________________________________________________________
ADDRESS______________________________________________________________________________________________________________
CITY_____________________________STATE_________________ZIP__________________ HOME PHONE (_____)_________________
PARENT/ GUARDIAN NAME_____________________________________________________ WORK PHONE (______)_________________
CELL PHONE (______)__________________
PERMISSION FOR TRANSPORTATON: The YMCA Staff has my permission to transport my child to and
from program location in the event of an emergency. I understand reasonable precautions will be taken to
ensure the safety and supervision of my child.
MEDICAL WAIVER: In the event that my child requires emergency medical treatment and I cannot be
reached, I hereby authorize the YMCA Staff to make arrangements to transport my child to the nearest
hospital/emergency medical facility. I give my consent for any and all necessary medical treatment, if, in
fact my child requires the attention of a physician.
WAVIER: I understand that YMCA activities have inherent risks and I hereby assume all risks and
hazards incident to my participation in all YMCA activities including transportation to and from said
activities. I further waive, release, absolve, indemnify, and agree to hold harmless the YMCA, the
organizers, volunteers, supervisors, officers, directors, participants, coaches, referees as well as
persons or parents transporting participants to or from such activities from any claims or injury
sustained during my use of YMCA facilities or participation in any YMCA activity whether located on
YMCA property or not.
PHOTO RELEASE: I give my consent for pictures taken of my child involved in YMCA programs to be used
for future YMCA promotions or display.
REFUND/TRANSFER POLICY: I understand that the YMCA has a NO refund policy. If applicable, there is a
$25 transfer fee if done before start of program.
PARENT/GUARDIAN ACKNOWLEDGEMENT: This is to acknowledge that I have read and agree to the
above information. Int.___________
___________________________________________________________
Parent Signature
___________________
Date
Office Use Only: Amount paid _______ Date _______ Staff initials______
CCC Code: 12KID