Safe Sitter®

Email *

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

First Name *

Last Name *

Phone *

Address *

City *

State *

Zip *

Student Name *

Students on this registration *

Siblings or friends? Add up to three more students on this one registration — $139.99 each. You will be asked for each student’s name.

Student 2 full name *

Student 3 full name *

Student 4 full name *

Safe Sitter Kit *

No thank you.

Yes, add a Safe Sitter Kit (+19.99)

Safe Sitter® Kit — a Safe Sitter® cinch bag with an LED flashlight, bandage dispenser and Important Information notepad, plus a $20 coupon toward an adult First Aid/CPR class. Handed to your student at class.

Reschedule Protection *

No, thank you.

Yes. I would like to add Reschedule Protection (+19.99)

Covers one date change if you cannot attend for an unforeseeable reason — illness, injury, traffic, weather. Details in the Refund Policy.

Students covered

Reschedule Protection covers one student — this matches your student count.

Quantity

One kit per student — this matches your student count. Change it if you want extras.

Acknowledgment *

By waiving reschedule protection, I understand I will need to reenroll and pay a new course fee if I cannot attend the class.

Coupon

Amount

$

Discount Amount

$

Gross Amount

$

Payment Method *

Credit Card PayPal / Pay Later / Venmo 3rd Party Payer (Department/Employer)

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

Terms and Conditions *

By registering, I accept Terms and Conditions

Individual Registration

Payment Information

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