Saskatchewan Social Services

Child Care Attendance Report
For the month of November, 2026

  • 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    • W - Withdrawn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 November, 2026
1
Sun		 2
Mon		 3
Tue		 4
Wed		 5
Thu		 6
Fri		 7
Sat		 8
Sun		 9
Mon		 10
Tue		 11
Wed		 12
Thu		 13
Fri		 14
Sat		 15
Sun		 16
Mon		 17
Tue		 18
Wed		 19
Thu		 20
Fri		 21
Sat		 22
Sun		 23
Mon		 24
Tue		 25
Wed		 26
Thu		 27
Fri		 28
Sat		 29
Sun		 30
Mon

Name:

Barnes

Surname

Donald

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A A A A

Name:

Barnes

Surname

Jessica

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A A A A

Name:

Leavitt

Surname

Roxanne

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A A A A

Name:

Ramirez

Surname

Jane

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A A A A

Name:

Ramirez

Surname

June

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A A A A

Name:

Reed

Surname

Kenneth

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A

Name:

Roberts

Surname

April

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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
IN FD A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A

Name:

Roberts

Surname

Sherry

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A A A A

Name:

Roberts

Surname

William

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
0
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 A A A A A A A A A A A A A A A A A A A A A A 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.