Childcare Verification Form

Childcare Verification Form - Attach the completed 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. 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. Need help with child care costs? Your child care provider will need to complete this form and return to you. To whom it may concern:

****************************************************************************************** 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. Attach the completed verification form. To whom it may concern: Need help with child care costs? 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.

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

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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. Attach the completed verification form. Need help with child care costs? I hereby authorize you to provide any information.

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. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign.

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