Childcare Reimbursement Form

Community groups exist to make disciples through Bible study, building relationships through community and mission.Because of the value we place on these groups, we offer partial reimbursement to help offset the cost of childcare for families who would otherwise not be able to attend a group.
Please submit one request that covers the entire session you would like to attend. For example: Six weeks x 3 hours= total hours x sitter fee=total expense.
Name:*
E-mail:*
Phone:*
-
Total Cost for Sitter:*

Of this total, please let us know what you are able to pay....

Amount requested to reimburse a sitter $:*