HEART OF THE HILLS SWIM CLUB, INC.
SITTER APPLICATION

Member Number:
Last Name:

Board of Governors:

I would like to request that babysitter privileges be extended to as the sitter/caregiver for my child/children.

I understand that the sitter/caregiver must be over 16 years old and must be with the member’s child/children. In the case of multiple sitters, only one may accompany the child/children at any given time.

Upon approval, the sitter’s picture will be taken and my account will be billed $75. Admission is subject to the rules and regulations of Heart of the Hills Swim Club, Inc.

Submitting this form indicates agreement to these conditions and charges.

If you prefer you can complete a printable form and either mail it to the Club (PO Box 80083, Rochester, MI 48308) or drop it off at the pool.