Office
use only Date ________ Ck. # _______ Amt. _______
HK
RECREATION CHILD CARE INVOICE
February 4th -29th,
2008
Payments are due no later than Friday,
Jan. 25th ($5 per day late fee)
Wednesday, February 6th and
Thursday, February 7th are ˝days of school. February 18th – 22nd
is school vacation week. Child care
is available. Separate registration. The Kindergarten Minimum Day is Wed.,
February 27th.
Child’s Name
_______________________________________________
Child’s Name
_______________________________________________
1 child = $174.00; $24.00 (1 child) for the
Kindergarten Minimum Day 2
children = $274.00; $41.00 (2
children) for the Kindergarten Minimum Day 3
children = $326.00; $51.00 (3
children) for the Kindergarten Minimum Day Please check the box if your Kindergartener will be
attending the 2/27 Min. Day Pro.
After School at 
PART-TIME: Please give yourself a credit if your
child(ren) was to attend on Dec. 16th or Jan. 14th snow days. After School at 1
child = $14.00 per day; $24.00 for the 2/6 or 2/7 half day (or the 2/27
Knd. Minimum Day) 2 children =$24.00
per day; $41.00 for the 2/6 or 2/7 half day (or the 2/27 Knd. Minimum Day) 3 children =$30.00
per day; $51.00 for the 2/6 or 2/7 half day (or the 2/27 Knd. Minimum Day) February dates: _________________________________________________ Please check the box if your Kindergartener will be
attending the 2/27 Min. Day Pro.
I hereby give permission for my child to participate in the HK Recreation Child Care Program for the above stated weeks / days.
______________________________________
Parent/Guardian Signature
All payments are due in full and should be returned
with this completed form.
If two checks are being used for payment, both
checks should be returned with this form.
_____ Check here if you would like a
receipt FED Tax ID # 06-0974678 CT TAX ID #66-00-555-000