Childcare Reimbursement

Childcare Reimbursement

Remember - Your scholar(s) should be 12 and under. Thank you.
Parent Name: *

First NameLast Name
Email*
example@example.com
Which County do you live in?
Please select in-person session(s) you attended WITHOUT your younger scholars. Select each session you attended.*

All Families Mandatory 7/28/2025New Families: How to Prepare for Parent Teacher Conference 8/20/2025New Families: Library Tour and Homeschool Session 8/21/2025Observe, Analyze, and Compute 8/25/2025Nurturing Fathers 9/5/2025Nurturing Fathers 9/12/2025Nurturing Fathers 9/19/2025Nurturing Fathers 9/26/2025Nurturing Fathers 10/3/2025Nurturing Fathers 10/10/2025Nurturing Fathers 10/17/2025Nurturing Fathers 10/24/2025Navigating Neurodivergence 9/16/2025Rezilent Kidz 9/16/2025Rezilent Kidz 9/23/2025Rezilent Kidz 9/30/2025Rezilent Kidz 10/7/2025Rezilent Kidz 10/14/2025Rezilent Kidz 10/21/2025Rezilent Kidz 11/4/2025Control of the Traffic Stop 9/18/2025Surviving the Shark Waters of Change 10/4/2025Internet Safety 10/22/2025Family Team Building 11/4/2025Coordinators ONLY In-person meetingsThe Effects of Marijuana 11/13/202525th Anniversary Brunch 9/27/2025
First name of children 12 and under with their age: Child's name and age* Child's name and age Child's name and age Child's name and age Child's name and age Child's name and age Child's name and age
Childcare Reimbursement*

1-2 Children - $25.003-4 Children - $45.005 or more Children - $65.00
Do you prefer an Electronic Payment or Paper Check?*

Electronic PaymentPaper Check
Provide Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Copy of a Receipt or Document from Provider (even if older sibling/spouse)*

Cancelof
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