Author: Kathy Mowery

Safe Sitter® Classes to Train Babysitters – Registration Form
Name: Phone (best contact):
Home Address:
City State Zip
School District: T-shirt size: ______ Email:
Class Date: October 6, 2018 November 3, 2018 December 1, 2018
Class Cost: $70 T-shirt (optional): $15 ($18 for XXL) Make checks payable to: ESC of Medina County.
Cash and credit card (Visa and MasterCard) are also accepted.
Return this registration form to: Keturah Zacharias, ESC of Medina County, 124 W. Washington St., Medina, OH 44256
______________________________________________________________________________________________________________________
PARENT/GUARDIAN CONSENT FORM
The ESC of Medina County is providing this parental consent form to request permission for the name and/or photo/image of your child to be published on the ESC of Medina County website, newsletters, programs, local media articles, or features. Check one of the following choices:
( ) I GRANT permission for photo/image AND name ( ) I DO NOT GRANT permission
_____________ ________________ ______________________________
Student’s Grade Relation to Student Name Parent/Guardian (please print)
______________________________ _______________________
Signature of Parent/Guardian Date
* * * * * * *
*CPR is NOT included in the First Aid and Rescue Skills section. If you are interested in having your child take an American Heart Association CPR course, please contact:
Keturah Zacharias at kzacharias@medinaesc.org or 330/723-6393, Ext. 102

124 West Washington Street
Medina, Ohio 44256-2270

Ê Fun Activities
Ê New Friends
Ê Life-Saving Skills

124 West Washington Street
Medina, Ohio 44256-2270

Safe Sitter® Essentials Class
Better sitters today.
Better parents tomorrow.
Instructors are nurses who have completed the Safe Sitter® Instructor Workshop. Classes are for girls and boys aged 11-14.
Updated curriculum includes:
Safety Skills
New information about online safety and personal safety will be presented.
Child Care Skills
The Child Care Skills section includes the Safe Sitter® Guide to Child Development and Guide to Child Care Duties.
First Aid and Rescue Skills*
Participants will be prepared to handle emergencies—wherever or whenever those happen. This section includes the latest first aid and rescue skills guidelines from the American Academy of Pediatrics and the American Heart Association.
Life and Business Skills
This section includes the ASAP method of screening jobs, and the importance of gather-ing the High Five information as well as discussing fees and greeting employers.
T-Shirts
Safe Sitter® T-shirts (100% pre-shrunk cotton) can be purchased for an additional $15 (XXL shirts are $18). Include size with registration. T shirts are available by pre order or on the day of class.
Adult Sizes:
Small (6-8) / Medium (10-12) / Large (14 16) / XL (18-20) / XXL (22-24)
Additional Safe Sitter® items under $10 will be available for purchase the day of class.

Schedule
date: October 6, 2018
time: 10 am to 3pm
site: Professional Building
Lower-Level Conference Room
124 W. Washington Street, Medina OH
date: November 3, 2018
time: 10 am to 3pm
site: Professional Building
Lower-Level Conference Room
124 W. Washington Street, Medina OH
date: December 1, 2018
time: 10 am to 3pm
site: Professional Building
Lower-Level Conference Room
124 W. Washington Street, Medina OH
→ Registration deadline is one week before date of class.
→ Please bring a brown bag lunch.
→ The same curriculum is presented at each class.
→ Each class must have a minimum of 8 students for class to be held.

Instructors are responsible for students only from 10 a.m. to 3 p.m.

Safe Sitter® Essentials
Babysitting
Training Class
Class Cost: $70
T-shirt: $15 (optional)
Price includes hands-on manikin practice, rescue skills, small-group interactive learning, role-playing, and games. Students will receive a Safe Sitter® handbook and course completion card.
Ways to Register
Mail
Return attached form with check to:
Keturah Zacharias
ESC of Medina County
124 West Washington Street
Medina, OH 44256
Email
Scan and send attached form to:
kzacharias@medinaesc.org.
Then call Keturah Zacharias at
330/723-6393, Ext. 102,
with your credit card information.