Childcare Verification Form

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

To whom it may concern: I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. 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. I hereby authorize you to provide any information. Attach the completed verification form. Need help with child care costs? ****************************************************************************************** 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 hereby authorize you to provide any information. I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. 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? ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. Attach the completed verification form.

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****************************************************************************************** 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. Need help with child care costs? I hereby authorize you to provide any information.

Attach The Completed Verification Form.

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.

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