St. Joseph Babysitter and Parental Consent Form

Consent to have your son / daughter listed as a babysitter for St. Joseph Parishioners.

Date*
MM slash DD slash YYYY
Parent or Legal Guardian's (First and Last Name)*
First Last
Consent*
Parent / Guardian Consent
I hereby consent to have my son/daughter listed as a babysitter for St. Joseph Parishioners. His/her name, age, address, and phone number will be included on this list (please note that we include your address so that parishioners may find babysitters closest to them).
Child's Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Age*
Please check if your child is certified:
Please check all that apply
- Select All
- Safe Sitter Course, American Academy of Pediatrics
- American Red Cross Certification
- Other
Additional Comments: