Online Childcare Reimbursement Form 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* 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* : Hours Minutes AM PM AM/PM Time Sitter Departed Childcare Location* : Hours Minutes AM PM AM/PM Child's Name Childcare was Provided for*Enter all children's names that childcare was provided for during the time frame listed above.CAPTCHA
