Serving the community since 1954!
Drexel Heights Fire District
Governing Board Meetings
Classes & Programs
Home Safety Checks
Senior Citizen Fire Academy
Babysitting REGISTRATION REQUEST:
***This is a registration REQUEST form. We will NOT be able to hold a registration spot in the class until we receive payment.***
Indicates required field
Participant's Date of Birth
Must be ages 12-16 years.
Parent/Guardian's Phone Number
How did you hear about this program?
Fire Station Marquees
Choose One Payment Option:
$35 money order mailed in or dropped off with registration information to DHFD @ 5030 S. Camino Verde 85735.
$25 cash or money order, dropped off to DHFD @5030 S. Camino Verde 85735, with proof of DHFD residency.
SORRY, ALL SESSIONS ARE FULL!
Session 1: CLOSED
Session 2: CLOSED
Session 3: CLOSED
Reservation & Cancellation Policy (Read Instructions)
I understand and agree with the "Reservation & Cancellation Policy"
Classes must be pre-paid 3 working days before the scheduled class. Payment is non-refundable. 24-hour advance notice of any cancellation is required. Failure to do so, means you will not be allowed to enroll in future classes. If you cancel, you may reschedule one time. A second cancellation voids your agreement and reservation. Classes start at specified times on this form, persons arriving late risk not being admitted to class.
Hold Harmless Agreement (Read Instructions)
I understand and agree with the Hold Harmless Agreement.
As consideration for the opportunity to participate in the Babysitting Program, the Participant and their Parent/Guardian agrees to protect, hold harmless and indemnify the Drexel Heights Fire District, and Pima County, officers, agents, their employees and their volunteers, against all liabilities, claims, suits or demands for Injuries to person and/or property arising out of his/her participation in all of the events and activities of the Babysitting Program. Participant and their Parent/Guardian assume all risks of injury.
Image Release Waiver
I hereby grant permission for my child to be photographed and/or videotaped while participating in DHFD activities and/or to have any such work incorporating my child's image or original work they produce in conjunction with the activity published in association with DHFD’s promotional and/or educational activities. I waive any right to compensation for such photographs, videotapes, images, and/or original work for the use or publication thereof.
Drexel Heights Fire District provides education and information to the community concerning fire and life safety issues. In providing these services, it is often beneficial to utilize actual photographs, video tapes, or work pertaining to emergency incidents, services, or programs. Agreement of this waiver will allow Drexel Heights Fire District to utilize photographs, videos, and original work in either print materials, public service announcements, public presentations, public displays, or on the department’s website.
Copyright 2018 Drexel Heights Fire District. All rights reserved.