Childcare Reimbursement – Westminster Presbyterian Church

Online Childcare Reimbursement Form

Please fill out the form below to receive reimbursement for sitter expenses. If you have any questions, contact your group’s leader.

Your Name*
First Last
Your Email*
Your Address*
Your payment will be mailed to this address unless other arrangements have been made with WPC's financial secretary.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date Childcare was Provided*
Date Format: MM slash DD slash YYYY
WPC Event Childcare was Provided for*
(Example: Sanctuary Choir, It's Elementary, Youth Groups)
Time Sitter Arrived at Childcare Location*

: HH

MM
Time Sitter Departed Childcare Location*

: HH

MM
Child's Name Childcare was Provided for*
Enter all children's names that childcare was provided for during the time frame listed above.
CAPTCHA