Babysitter Roster Release Form
BABYSITTING ROSTER RELEASE FORM
I would like to be added to the GSL Community Education’s American Red Cross Babysitting roster. I acknowledge I have successfully completed the course and would like to be contacted by families for babysitting.
I understand that by signing this form, my personal information below will be provided to the public who access the babysitting roster through GSL Community Education.
I also acknowledge GSL Community Education is not responsible for interviewing, screening or recommending families. It is my responsibility to obtain information about the families on my own.
INFORMATION RELEASED TO THE PUBLIC
Babysitter’s Name: __________________________________
Babysitter’s Phone: __________________________________
Course Completion Date: _____________________________ - (Please attach completed card/certificate with this form)
Babysitter Signature: _____________________________ Date: _______________
Parent/Guardian Signature: ________________________ Date: _______________
ALL COMPLETED FORMS MUST BE RETURNED TO:
GSL COMMUNITY EDUCATION
1621 EAST 16TH STREET
GLENCOE, MN 55336