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Childcare Verification Form

Childcare Verification Form - Need help with child care costs? 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. 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. To whom it may concern:

I hereby authorize you to provide any information. Attach the completed verification form. 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. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. 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. Your child care provider will need to complete this form and return to you.

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

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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. ****************************************************************************************** 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 hereby authorize you to provide any information.

Need Help With Child Care Costs?

To whom it may concern: Attach the completed verification form.

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