Baby Sitter Training Registration Form
Please Print
Parent/Guardian’s Name______________________________________________
Where you can be reached during the training sessions?
Phone Number(s) ___________________________________________________
Child’s Name_______________________________________________________
Mailing Address____________________________________________________
Phone:_______________________ Date of Birth _____/_____/_____
School Bus Route Number__________
Medications or conditions that I need to be made aware of : ___________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Please instruct your child to ride the 3:00 bus to the high school rather than walk.
Traffic is very heavy during this time and children will be better protected in the bus
than on foot. Students who register in advance will have bus passes waiting for them in
the middle school office giving them permission to get off at the high school. Thank you!
Miss Peck
My child ____________________, has permission to attend the American Red
Cross Baby Sitter’s Training on Tuesday and Thursday afternoons from 3:15 to 5:00PM in
the high school Family & Consumer Science classroom (A-102) beginning February
25,2003. I understand that if for any reason the class will be canceled, an
announcement will be made over the public address system during homeroom and/or
at the end of the day.
____________________
Parent’s Signature & Date
Return the form and check to: Cathie Peck, Mt Markham High School, Fairground Road,
West Winfield, New York 13491.
Click On The Blue Teddy Bear
To Return To The
Mt Markham Family & Consumer Sciences Home Page.
