Addendum to Enrollment Form For Child Care - Van Buren County ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the child care facility at the top of the form.
3. Fill in the participant's name, including last, first, and middle initial in the designated fields.
4. Indicate the normal days of care by circling the appropriate days from Monday to Sunday.
5. Specify the normal hours of care during the school year and summer by filling in the time slots provided.
6. Circle all applicable meals that your child will receive, such as breakfast, lunch, or supper.
7. Enter your name as the parent or guardian, including last, first, and middle initial.
8. Provide your daytime telephone number in the specified format.
9. Sign and date the form at the bottom to complete your submission.

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