Child Name definition

Child Name. PRT Date:

Child Name. Center: Payer Name: Phone Number: Email Address: Receipt Required: yes no Address: City / State/ Zip: I authorize Growing Kids to initiate withdrawals from my checking or savings account for recurring and incidental charges at the financial institution listed below in payment of my account. This authority will remain in effect until 5 days after I provide written notice to cancel it. Bank Name: Bank Address: Transit / ABA#: Account #: Account Type: Checking Savings Starting Date: I authorize Growing Kids to initiate charges to my credit or debit card listed below in payment of my account for recurring and incidental charges. This authority will remain in effect until five days after I provide written notice to cancel it. Card Type: VISA MASTERCARD DISCOVER Card #: Expiration I prefer not to participate in the AutoPay program at this time. I understand that I will not receive the AutoPay discount from the standard tuition rate unless I choose to participate in the program. Payer Signature: Date: Center: Child’s Name: Tuition: AutoPay Start Date: Revised on 7/16/2014 Copyright Growing Kids Learning Center 11/99 Form #C-080 Effective 7/11/2013 Enrollment Form - 2017 /18 Student Information Today’s Date: / / Name: Start of Care: Birthdate: Age: Gender: Boy Girl Child Lives With: Mother Father Parents are: Married Single Other: Other In the chart below, please indicate the normal days and hours your child is in care, and the

Child Name. Address: City: State: Zip: Home Phone/Cell: Work Phone: List any medical conditions that we should be aware of:

Examples of Child Name in a sentence

• Child Name: Date Parent Name: Parent Signature: 3.21.22Please complete and submit to ECDC by May 1st if your child is enrolled in the 2/3’s, 3’s, 3/4’s, 4’s or 4/5’s for the Summer Program.

• Parent or Guardian Information Relationship to Child Name (Last, First) Home Address/Zip CodeHome PhoneCell PhoneWork Name & AddressWork Phone Emergency Contact not listed above Persons Authorized to Pick Up Child(ren) - Include ParentsNameRelationshipHome PhoneCell PhoneWork Phone1.

• Child Name Aliases Address Date of Birth & Age Gender Ethnicity (See Appendix A) Religion (if known) Disability ABOUT THE CHILD Please provide a short description of the child and their life to assist professionals in understanding the lived experience and impact of the event/reason for referral.

• For example, if you wanted to present users with a list of Child CIN’s and Child Names, you would select Child CIN and Child Name as data items on your report.

• Child Name: Enter name of child on whose behalf the fee is to be paid.

• Name: Relationship to you: Contact Phone: Address: CHILDREN Child Name (First, Last) Date of Birth: AgeSchool status (home, daycare, grade) Father’s Name EMPLOYMENT (From most recent on): Employer/AddressPositionAmount per hr.Start/End DatesReason for Leaving EDUCATION Name of School/City (Most Recent first)Dates AttendedHighest Level of Education Completed(Degree.

• No., Salary, Child Name, Child Age Childcare Tuition Assistance Program Integrated Grants Management System (IGMS) OARM EPA-53 X X X Name, Address, Tel.

• Please see back of this form for details.Spouse Name (last, first, middle initial) (please print) Date of birth Gender Social Security Number Child Name (last, first, middle initial) (please print) Date of birth Gender Social Security Number Child Name (last, first, middle initial) (please print) Date of birth Gender Social Security NumberIf more than three dependents, please use another sheet.

• Minor Children:The children who are the subject of this parentage action are:Name of Child: Name of Child: Name of Child: Name of Child: Name of Child: Date of Birth: Date of Birth: Date of Birth: Date of Birth: Date of Birth: Quick Reference Guide: NOTE if you are unsure if you meet the criteria to be established as a “parent”, please seek legal advice before submitting this complaint with the court.

• Child Name......................................................................................

More Definitions of Child Name

Child Name. 2019 – 2020 Grade: Child Name: 2019 – 2020 Grade: Child Name: __ __ _ 2019 – 2020 Grade: Full Time One Child: 5 days a week $455/mo Half Time One Child: 3 days (MWF) $355/mo Part Time One Child: 2 days (TTH) $260/mo Full Time Two Children: 5 days $810/mo Half Time Two Children: 3 days (MWF) $630/mo Part Time Two Children: 2 Days (TTH) $480/mo *Drop – In *$230 – 15 days After School *Rate only available for one cycle of 15 days each semester. After 15 days, daily rate will be charged or monthly rate must be selected. There is limited availability for Drop-In Care for students who do not attend on a regular basis. This service is available to students for after-school care and requires a non-refundable check deposit of $230 in Aug and Jan. The deposit will be applied to up to 15 days of student’s attendance in after school care. Full Day care fees will be drafted. ($30/day After School or $55/day Full Day Care).

Child Name. DOB: Child Name: DOB: Child Name: DOB: Child Name: DOB: Classroom: Classroom: Classroom: Classroom: Please circle the days that your child(ren) will attend Little Sponges: Monday Tuesday Wednesday Thursday Friday Please fill in the hours that your child(ren) will attend Little Sponges: Drop off Time: Pick Up Time: Please check off the following meals that your child(ren) will be receiving at Little Sponges: ( ) Breakfast ( ) Lunch ( ) PM Snack ( ) Supper