Grandparents: Getting Started by Safe Sitter

Email Address *

Select a class date. *July 21, 2026I cannot attend this class-put me on the waitlist and notify me when another class is scheduled.

Dear Participant:

A great deal of information is presented in a short period of time during the Grandparents: Getting Started Course. We want every participant to succeed in the course, and we will work with you to make alternate plans if you have difficulty keeping up. Please let us know if there is anything that we should know to help you succeed. If you need accommodations, please let the Instructor or Site Coordinator know as soon as possible.

Participant Name *

Phone (Cell)

Phone (Secondary)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Do you have any allergies such as foods or latex? *Do you have any allergies such as foods or latex?YesNo

If YES, please explain.

In the event of health emergency, I authorize (Safe Sitter® Provider) to seek emergency care. *In the event of health emergency, I authorize (Safe Sitter® Provider) to seek emergency care.YesNo

My preferred hospital is:

Name of Emergency Contact *

Phone of Emergency Contact *

Grandparents: Getting Started includes practice of rescue skills on CPR manikins. Manikins require strict standards for controlling infection. I agree not to attend if I have a contagious illness including rash. *Grandparents: Getting Started includes practice of rescue skills on CPR manikins. Manikins require strict standards for controlling infection. I agree not to attend if I have a contagious illness including rash.YesNo

Other Terms and Conditions

I will take all responsibility for deciding whether my child is capable and mature enough to babysit. I understand the importance of having my child attend each course session and arrive on time. The Registered Provider reserves the right to decline the application of any student, or send home any student who, according to the site's discretion, is disruptive or puts him/herself or others at risk. I, the undersigned, consent to the use, reproduction and publication by Safe Sitter, Inc. and/or the Registered Provider of pictures or recordings taken of my child during the program for publicity purposes. Acknowledgement of Risk of Injury/Release and Waiver. I acknowledge and understand that there may be a risk of injury involved in the activities that my child will engage in during the program. In consideration of my child's participation in the program, I hereby agree to release, waive, hold harmless, and shall indemnify Safe Sitter, Inc. and the Registered Provider and their respective employees, members, officers and other staff members from liability to us and our child for any and all claims. I, the undersigned, have read this release and understand all of its terms. I execute it voluntarily and with full knowledge of its meaning and significance. I, the undersigned, hereby certify that to the best of my knowledge, my child is able to safely participate in the program activities for which he or she has been registered. By submitting this registration form I agree to the terms listed above and provide my signature as proof of acceptance. I consent and authorize the Registered Provider to submit the name and address of my child to Safe Sitter, Inc. I understand that Safe Sitter, Inc. will not sell, share or trade this information with other organizations.

Acknowledgement of Terms and Conditions *Acknowledgement of Terms and ConditionsI agree to the terms and conditions listed above.

Payment is due at time of registration

After you click submit, you will be redirected to our payment portal. The class fee is $65.00 and due at the time of registration to reserve your spot.

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