Babysitter Agreement Form - Har-Ber Meadows

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 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.

Name	Age

HBM Babysitter Agreement

Har-Ber Meadows Community Pool

Babysitter Registration Form

Baby Sitter Information