Family Registration Sitters On the Fly Please enable JavaScript in your browser to complete this form. Please enable JavaScript in your browser to complete this form. Family Registration – Name * First Last Address * City * State * Email * Email Confirm Email Contact Phone Number * Children(s) names and ages * Special needs or requirements * Medication * Does your child need to take any medication on a regular basis? If yes, please give child/name of medication/dosage and directions on how and when to give to child. Information Any important information that the sitter needs to know/be aware of in order to care for your child. Submit