Saskatchewan Social Services

Child Care Attendance Report
For the month of October, 2025

  • Main Centre - Archer Daycare
  • Business Number/SIN: 555555
  • Box 1111
  • Saskatoon, Saskatchewan
  • S7H 1P6
Full time fee schedule:
Infant $600.00 Toddler $600.00
Preschool $600.00 Kindergarten $600.00
School Age $600.00
All children's attendance must be recorded and verified with a parent's signature. All days must be recorded as follows:
  • Specify child's care type
  • Specify child's care schedule
  • If child in attendance, record the number of hours attended each day
  • If child was NOT in attendance, you must record one of the following:
    • W - Withdrawn
    • S - Sick
    • X - Facility Closed
    • A - Absent
    • H - Child is on holidays with custodial parent
Mark days the facility is closed for the month of October, 2025
1
Wed		 2
Thu		 3
Fri		 4
Sat		 5
Sun		 6
Mon		 7
Tue		 8
Wed		 9
Thu		 10
Fri		 11
Sat		 12
Sun		 13
Mon		 14
Tue		 15
Wed		 16
Thu		 17
Fri		 18
Sat		 19
Sun		 20
Mon		 21
Tue		 22
Wed		 23
Thu		 24
Fri		 25
Sat		 26
Sun		 27
Mon		 28
Tue		 29
Wed		 30
Thu		 31
Fri

Name:

Barnes

Surname

Donald

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
177
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PT FD A 8.25 7.75 5.75 A A 8.5 7.75 8.75 9.5 7.5 A A 7 7.75 11.25 5.25 10 A A 8.75 8.5 7.75 6.25 8 A A 7.25 8.25 11 6.25

Name:

Barnes

Surname

Jessica

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
140.25
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PT FD A 6.25 9 6.5 A A A 8.25 6.5 7.25 7.75 A A 7.75 10.75 11 6.25 9 A A A A A 6.25 9.75 A A 9.5 4.75 5.5 8.25

Name:

Leavitt

Surname

Roxanne

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
72
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PT FD A A A A A A 9.25 6.25 A A A A A 7 10 A A A A A 8 10.75 A A A A A 9.5 11.25 A A

Name:

Ramirez

Surname

Jane

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
168.25
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PT FD A 11.25 A 6.75 A A 11 8.5 9.75 8 8.25 A A 9.5 7.75 9.25 A 6.25 A A 9.75 A 8.75 8.75 6.5 A A 8.75 10.5 8.5 10.5

Name:

Ramirez

Surname

June

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
157.5
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PS FD A 8.25 9.5 8.25 A A A 5.75 8.5 7.25 4.25 A A 9.75 8.5 7.75 6.5 6.75 A A 6.5 9.5 9.25 6.5 9.5 A A 5.75 8.25 6.75 4.5

Name:

Reed

Surname

Kenneth

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
51.25
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PK FD A A A A A A A A A 5.5 8 A A 5.25 5 A 6.5 A A A A 6 A A 5.75 A A 4 3.5 A 1.75

Name:

Roberts

Surname

April

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
65.5
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PT FD A A A A A A 7.5 7 A A A A A 9 8.75 A A A A A 8.75 10.25 A A A A A 8.5 5.75 A A

Name:

Roberts

Surname

Sherry

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
60
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PS FD A A A A A A 10.75 6.5 A A A A A 8.75 8 A A A A A 5.5 8 A A A A A 8 4.5 A A

Name:

Roberts

Surname

William

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
63.25
Care Type Care Sched  1  2  3  4  5  6  7  8  9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
PT FD A A A A A A 9.5 7.75 A A A A A 6.5 9.75 A A A A A 7 7.5 A A A A A 5.5 9.75 A A

I state that the information provided on this form is true, accurate and complete. I understand I may be liable to criminal prosecution for withholding information or providing false or misleading information.