Childcare Verification Form

Childcare Verification Form - Attach the completed verification form. 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. 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. To whom it may concern:

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

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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.

Need help with child care costs? I hereby authorize you to provide any information. Attach the completed verification form. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign.

To Whom It May Concern:

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.

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