Childcare Payment Form
Please fill out this form and click submit.
Preparer's Name
*
Preparer's Email:
*
This address will receive a confirmation email
Childcare Provider's Name:
*
Number of hours worked (rounded up to the half hour)
*
Payrate:
*
Preferred payment method (check will be mailed unless otherwise requested):
Please select one option.
Check, mailed
Check, held at church for pick-up
Team name or budget line to be drawn from:
*
Submit
Description
Please fill out this form and click submit.
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