Mt. Lookout Swim Club - Babysitter Request Form
You must submit one form for each babysitter.  Please allow up to 3 days to process your request.  You will be contacted only if your request was denied or if we need additional information. All approved changes will be made in your account. You can login in and review your account at


The rules for babysitters are outlined in section 4 of the handbook, as follows:
Rules concerning BABY-SITTERS:
(a) All full-time babysitters must be approved by the Club before being sent to the pool with
children. Members must email the Club to request such approval, which may be granted or
denied at the Club’s discretion.
(b) Under no conditions shall any baby-sitter be permitted who is under sixteen (16) years old.
(c) Member families are limited to no more than three (3) babysitters on their account at any given time.

Note - Babysitters can only come when accompanied by their member family.  Babysitters are NOT permitted to visit the pool at the same as parent(s).
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Email *
First and Last Name of Member Requesting Babysitter Approval *
First and Last Name of Babysitter *
Birth Date of Babysitter *
Please indicate if there are any babysitters to be removed from your account (i.e. - sitters used in previous years)
Additional comments or special circumstances    (please indicate if you utilize services such as, SaferSit, etc where you may have various babysitters)
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