Childcare Verification Form

Childcare Verification Form - I hereby authorize you to provide any information. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. Your child care provider will need to complete this form and return to you. 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. Need help with child care costs? 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. To whom it may concern:

Need help with child care costs? Attach the completed verification form. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. 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/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. Your child care provider will need to complete this form and return to you. To whom it may concern:

Need help with child care costs? 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. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. Your child care provider will need to complete this form and return to you. 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. To whom it may concern: Attach the completed verification form.

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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.

****************************************************************************************** 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. To whom it may concern: Your child care provider will need to complete this form and return to you.

I Hereby Authorize You To Provide Any Information.

Need help with child care costs? Attach the completed verification form.

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