BLAST Babysitter Course Application Class Information:  Course: American Academy of Pediatrics / Emergency Care & Safety Institute (ECSI) BLAST BabysitterTraining Cost: $100 Location: ETA 59 N. Bailey Road Thorndale, PA 19372

Applicant Information: Select Course Date: <Select a Date> Sunday May 12, 2019 from 9:00a-2:00p Name: Address: City, State & Zip: Primary Phone #: Email Address: How did you hear about our courses? Please list any comments, questions or concerns: Click below to submit your application. You will then be taken to a payment page where you can submit payment. Payment is due at time of registration unless your organization is paying for the course, in which case you can fax the letter of intent as described above. If you would prefer to pay by check, mail payment to: 1547 Shadyside Road, West Chester, PA 19380. Your seat in the class is not secure until payment or letter of intent to pay is received.