Common use of Licensed Providers Clause in Contracts

Licensed Providers. Do you receive funding from any other source for this child? Check all that apply:  School Readiness  State Head Start  Federal Head Start  DSS CDC  DSS BAS Is the schedule the same each week?  Yes  No If no, explain how the schedule varies:

Licensed Providers. Do you receive funding from any other source for this child? Check all that apply:  School Readiness  State Head Start  Federal Head Start  DSS CDC  DSS BAS Is the schedule the same each week?  Yes  No If no, explain how the schedule varies:: CHILD 2 - Full Name: Date of Birth: Date care started: How much do you charge the parent per week? $ Do you provide care for this child before or after school? (Check boxes)  Before School  After School

Licensed Providers. Do you receive funding from any other source for this child? Check all that apply:  School Readiness  State Head Start  Federal Head Start  DSS CDC  DSS BAS Is the schedule the same each week?  Yes  No If no, explain how the schedule varies:: CHILD 4 - Full Name: Date of Birth: Date care started: How much do you charge the parent per week? $ Do you provide care for this child before or after school? (Check boxes)  Before School  After School