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HTML Preview Childcare Rate Sheet page number 1.

1

ChildcareRateSheet

Name:





Address:





City:



State:  Zip:

Phone#:



Email: 



AGES FULLTIME

DAILYRATE

(morethan6hoursaday)

Max

Reimbursable

FULLTIMERATE

PARTTIME

DAILYRATE

(lessthan6hoursaday)

Max

Reimbursable

PARTTIMERATE

Infant

(0‐11months)



$$



Toddler

(12–23months)



$$



2yearolds



$$



3yearolds



$$



4yearolds



$$



5yearolds



$$



SchoolAge



$$





AdditionalFees:

Item: Amount: Frequency(daily,weekly,monthly,

annually,onoccurrence)

 $





 $





 $





 $







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