Babysitting Class Reg - United General District 304

Parent/Guardian Information

Name*

First Last

Email*

Phone*

Participant Information

*Please note that participants are required to wear masks for the duration of the class, regardless of vaccination status.

Name*

First Last

Age*

Do you qualify for reduced pricing?

We offer a discounted price of $60 for low-income families receiving at least one of the benefits listed below.

Does your family receive any of the following benefits: Basic Food (SNAP), Free or reduced price school lunch, Apple Health, or WIC (Women, Infants & Children)?*

Yes, our household receives at least one of these benefits
No, our household does not receive these benefits

Which of the following benefits does your family receive? (Check all that apply)*

Basic Food (SNAP)
Free or reduced-price school lunch
Apple Health
WIC (Women, Infants & Children)

Babysitter's Training Class - regular price*

Price:

Babysitter's Training Class - reduced price*

The regular price of the class is $80, but you qualify for a $20 discount.

Price:

Payment

Payment for this class is non-refundable. If you cannot attend the in-person class on your scheduled date, please contact Kristy Southard at 360-854-7168 or Kristy.Southard@UnitedGeneral.org as soon as possible. You may be able to reschedule to a future class or transfer your spot to another person.

Total amount due

$0.00

Billing Address*

Street Address Address Line 2 City State ZIP Code

Credit Card*

Card Details

Cardholder Name

Comments

This field is for validation purposes and should be left unchanged.

Babysitter's Class registration - April 2, 2022

Parent/Guardian Information

Participant Information

Do you qualify for reduced pricing?

Payment