Childcare Verification Form

Childcare Verification Form - Need help with child care costs? ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. Attach the completed verification form. I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. In order for a student to be released/accepted due to childcare, the parent(s)/guardian(s) of the child may have to provide evidence of employment. I hereby authorize you to provide any information. Your child care provider will need to complete this form and return to you. To whom it may concern:

To whom it may concern: ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. I hereby authorize you to provide any information. In order for a student to be released/accepted due to childcare, the parent(s)/guardian(s) of the child may have to provide evidence of employment. Need help with child care costs? Attach the completed verification form. Your child care provider will need to complete this form and return to you.

****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. I hereby authorize you to provide any information. Your child care provider will need to complete this form and return to you. To whom it may concern: In order for a student to be released/accepted due to childcare, the parent(s)/guardian(s) of the child may have to provide evidence of employment. Need help with child care costs? Attach the completed verification form. I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday.

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****************************************************************************************** Please List The Names Of All Individuals At Your Center/Home Who Are Authorized To Sign.

I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. I hereby authorize you to provide any information. Attach the completed verification form. Your child care provider will need to complete this form and return to you.

In Order For A Student To Be Released/Accepted Due To Childcare, The Parent(S)/Guardian(S) Of The Child May Have To Provide Evidence Of Employment.

Need help with child care costs? To whom it may concern:

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