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Architectural Review Committee Application
HBM Babysitter Agreement
This form gives consent to allow babysitters to bring resident children to the pool. (Note: This is not for residents that will keep nonresident children.)
Har-Ber Meadows Community Pool
Babysitter Registration Form
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone
*
Har-Ber Meadows Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent/Guardian Email
*
Baby Sitter Information
Babysitter MUST BE 18 YEARS or OLDER. Proof of age is required before approval.
Babysitter Name
*
First
Last
Is the Babysitter 18 years or older?
*
Yes
No
Babysitter MUST BE 18 YEARS or OLDER. Proof of age is required. ID will be required at pool desk.
Babysitter Date of Birth
Date Format: MM slash DD slash YYYY
Babysitter MUST BE 18 YEARS or OLDER. Proof of age is required before approval.
Names of Children
*
Name
Age
Please list names and ages of children babysitter is responsible for:
Phone
This field is for validation purposes and should be left unchanged.
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