SITTERS FOR FAMILIES
ONLINE BABYSITTING REGISTRY
Application Form for Teen Babysitters
(13 – 17yrs)
PLEASE PRINT CLEARLY
(Must be 13 years old & over to apply)
Surname:
Given Name:
Phone Number:
Address:
Postal Code:
Area you live in:
Male: _______ Female: _______
Birthdate: Day ____________
Month: ________________
Year: _____________
Present Age:
Junior Sitters may be required to show their birth certificate/pass port for proof of age.
Please specify any languages spoken other than English: ______________________________________________
School Attending: ___________________________________________________________ Grade: ___________
Have you taken a Babysitting Course:
Yes _____ No _____
If yes, please provide the course date & year completed: __________________
*** Please provide a copy of your Babysitter’s Certificate
. (Youth 16 and over do not require this course to register
with us).
Have you completed a First Aid Course:
Yes ____ No ____
Ages that you prefer to babysit: (check all that apply): Under 2yr ____ 2 to 4yrs ____ 5 to 7yrs ____ 8-11yrs ____
Would you like to babysit Handicapped children:
Yes ____ No ____
Specify which area(s) you would like to babysit (i.e. “Cold Lake North, Cold Lake South, Military Base, Bonnyville,
Cherry Grove, Ardmore etc.”):
_______________________________________________________________________
Two References: (No relatives) Best to have people for whom you have worked as a sitter
Name:
Relationship to you:
Phone Number:
Email Address:
Name:
Relationship to you:
Phone Number:
Email Address: