Babysitter Registration Form


Har-Ber Address:   

RESIDENT CHILDREN TO BE SUPERVISED BY .

I GIVE PERMISSION FOR TO CARE FOR MY CHILD/CHILDREN AT THE HAR-BER MEADOWS COMMUNITY POOL WITHOUT MY SUPERVISION. I UNDERSTAND AND AGREE THAT MY PERMISSION GRANTED HEREBY IS AT MY SOLE RISK. I UNDERSTAND AND AGREE THAT THE HAR-BER MEADOWS COMMUNITY POOL, IT’S EMPLOYEES & BOARD MEMBERS SHALL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR EXEMPLARY DAMAGES RESULTING FROM THE USE OF THE HAR-BER MEADOWS COMMUNITY POOL BY MY BABYSITTER OR MY CHILDREN WHEN UNACCOMPANIED TO THE POOL BY ME NOR SHALL HAR-BER MEADOWS COMMUNITY POOL BE RESPONSIBLE FOR MORE THAN ITS NORMAL STATED RESPONSIBILITIES UNDER ITS RULES AND REGULATIONS AND BY-LAWS. IN ADDITION, MY BABYSITTER WILL ABIDE BY THE POOL RULES, ANY ABUSE RESULTING IN THEIR LOSS OF POOL PRIVELEGES. IF DEEMED NECESSARY BY POOL ATTENDANTS AND/OR POOL MANAGERS, IN CASE OF A MEDICAL EMERGENCY, YOUR SIGNATURE AUTHORIZES CONSENT FOR MEDICAL TREATMENT AND YOU WILL BE LIABLE FOR MEDICAL COSTS INCURRED.

Leave this empty:

Har-Ber Meadows https://harbermeadows.org
Signature Certificate
Document name: Babysitter Registration Form
Unique Document ID: 9f0902351463b45c77cef3c2a8fafef37a1b5b6d
Timestamp Audit
2017-05-19 09:25:30 CSTBabysitter Registration Form Uploaded by John Duke - manager@harbermeadows.org IP 72.204.70.48