Individual Registration

Please enter information in the form below to process registration for event Safe Sitter®.

Personal email preferred as some business email systems may filter communication related to your enrollment.

Kit includes a roomy Safe Sitter® bag equipped with a LED Flashlight, Bandage Dispenser, Important Information Notepad, and a $20.00 off coupon for an adult to take our First Aid/CPR class.
(this kit is not required for class)

Payment Information

Coupon
Amount
$
Discount Amount
$
Gross Amount
$
Payment Method *
Credit Card Number*
Expiration Date*
/
Card (CVV) Code*
Card Holder Name*