BSIT-Grauer Elementary

Red Cross Babysitting Registration + Waiver Form

BSIT-Grauer Elementary
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School (of Babysitting course)*
Course Date*

DayMonthYear
Student Full Name*

Last NameFirst Name
Address*
City*
Province*
Postal Code*
Area Code*
Phone Number*
Cell Phone Number
Parent(s) First & Last Name*
E-mail*
Emergency Contact Name*
Emergency Phone*
Comments (Allergies, Conditions, etc...)
Declaration - In enrolling my child(ren) in the Red Cross First Aid Hero Babysitting Course, I understand that the Instructors will take all precautions and pay the utmost attention to safety. However, I understand that accidents can occur and I will not hold them responsible. *

Please check box to accept.
Electronic Signature - You now have the option to sign this form electronically. If you elect to do so, you hereby consent and agree that your use of key pad, mouse or device to click “I Agree” button constitutes your signature, acceptance and agreement to the Declaration section immediately above as if actually signed by you in writing and has the same force and effect as a signature affixed by hand.*

Please check box to sign.
Payment Method*

OnlineCheque - Registration confirmed ONLY with payment. Online preferred. Must be received 7 business days in advance. $65 + $3.25 GST= $68.25 for admininstration. Thank you.
Pay Online
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Red Cross Babysitting Course (Including GST)$63.00CAD

GST 853610632 RT001$ FreeCAD

Total $0.00CAD
Please send cheque with student name and school written on the cheque by submission deadline.

Cheque is made payable to Marla Lechinsky

Send to

903-2476 York Ave

Vancouver, BC

V6K 1E2

Thank you.
Refund Policy - Full refund within 5 business days accepted, afterwards sorry no refunds.

email: marla@firstaidhero.com www.firstaidhero.com
Please Note

For full time class, please provide a bag-lunch and two big snacks. For part time class, please provide a snack each time. Please also provide plenty of water. Children will not be allowed to leave the premises during breaks and lunch. No nuts please.
We're sorry, the course is full.

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Red Cross Babysitting Registration + Waiver Form

Please Note