Safe Sitter JC - June 19

Safe Sitter - Jennings County

Friday, June 19
This Safe Sitter session will be held at the Jennings County Public Library.

Jennings County Public Library

2375 Indiana Hwy 3

North Vernon, IN 47265
Student's Name

First NameLast Name
Student's Age
Student's Grade Level (fall 2026)
Phone Number
Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
By signing below, I give permission for my child to participate in the Safe Sitter Program. I hereby release, remit, discharge and relieve Schneck Medical Center from any and all claims of whatever nature on behalf of my child, arising out of and as a result of participation in this program.
Guardian Signature

Clear
Please verify that you are human*
Should be Empty:

Safe Sitter - Jennings County