Babysitting Class Registration Form

COVID-19 Updates: Visit our COVID-19 webpage for the latest resources and to see how we're providing safe, in-person care and virtual visits.

Use this form to register for Babysitting Classes from Mayo Clinic Health System – Franciscan Healthcare. Fees are $45 per child attending and will be charged to your credit card. If you wish to pay by check or other method, please register by telephoning 608-392-4172.

Parent Information

First and Last Names

Address

City

State

Zip Code

Preferred Telephone

Preferred Email

Child (Student) Information

Provide the name and date of birth for each child who will attend.

Class Date

Saturday, April 25, 2020

select the date your child(ren) will attend

First Child Attending Name:

First Child Attending Date of Birth

Second Child Attending Name:

Second Child Attending Date of Birth

Third Child Attending Name:

Third Child Attending Date of Birth

Fees:

Registration Fee is $45 per registrant

Total Fees:numbers only; no symbols

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Babysitting Class Registration

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