REQUEST FOR PART TIME CHILD CARE.

This is a parental agreement for children that are registered to come on a part time schedule (one, two, three or four times a week). King David Academy needs to know which days of the week it is scheduled for. Payment of $35 per day is required. Parents are responsible for paying for those days no matter if child attended or not attended the program. If parents would like to bring their child some other day, instead of the scheduled missed days, they can do so and transfer tuition to the additional day they attended. 

Parent’s  Name______________________________________________________

Child’s Name________________________________________________________

Days requested:      Monday      Tuesday      Wednesday      Thursday      Friday

Tuition amount per week         ___________

Parent’s signature__________________________________ Date: _____________

Administrator signature_____________________________ Date: _____________