Saskatchewan Social Services

Child Care Attendance Report
For the month of April, 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    • W - Withdrawn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 April, 2025
1
Tue		 2
Wed		 3
Thu		 4
Fri		 5
Sat		 6
Sun		 7
Mon		 8
Tue		 9
Wed		 10
Thu		 11
Fri		 12
Sat		 13
Sun		 14
Mon		 15
Tue		 16
Wed		 17
Thu		 18
Fri		 19
Sat		 20
Sun		 21
Mon		 22
Tue		 23
Wed		 24
Thu		 25
Fri		 26
Sat		 27
Sun		 28
Mon		 29
Tue		 30
Wed

Name:

Barnes

Surname

Donald

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
133.25
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 17 A 9.75 5.25 A A 10.25 A A 9.75 6.5 A A 6 6.5 A 9.75 6.25 A A 5.25 10.25 A 7 6.25 A A 9 8.5

Name:

Barnes

Surname

Jessica

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
173
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 21.25 6 7 8.5 A A A 6.5 10 6.25 11.25 A A 7.75 8 9 5 10 A A 6.25 8.75 10 7.25 7.25 A A 7 10

Name:

Leavitt

Surname

Roxanne

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
70.5
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 7.25 A A A A A 7 8.75 A A A A A 9.75 9 A A A A A 9.25 6.75 A A A A A 7.25 5.5

Name:

Ramirez

Surname

Jane

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
139.25
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 13.25 A 7 10.75 A A A 7.25 6.25 9.75 9 A A 5.5 6.25 5.25 9 8 A A 6.25 A 10.75 7.5 10 A A 7.5 A

Name:

Ramirez

Surname

June

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
153.25
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 18.75 7.75 6.75 4.5 A A A 9.75 9.5 6.75 9.75 A A 7.75 A 9 5.5 A A A 7.5 8.25 8 7.75 9.25 A A 9.25 7.5

Name:

Reed

Surname

Kenneth

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
42.25
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
PS FD A 4.75 3 A A A A A A A A A A A 5.5 A 5.5 A 2.5 A A 5 3.25 A 4.75 A A A 4.75 3.25

Name:

Roberts

Surname

April

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
64
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 8.5 A A A A A 7 7.75 A A A A A 5.25 9 A A A A A 6 6 A A A A A 6.25 8.25

Name:

Roberts

Surname

Sherry

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
71.75
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 6.75 A A A A A 8.75 9.25 A A A A A 4.5 9 A A A A A 8.25 11.25 A A A A A 7.75 6.25

Name:

Roberts

Surname

William

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
69.25
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 6.5 A A A A A 8 7.5 A A A A A 7.25 9 A A A A A 9.5 5.75 A A A A A 8.25 7.5

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.