Saskatchewan Social Services

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    • W - Withdrawn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

Name:

Barnes

Surname

Donald

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
148
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 17.5 7.25 5.25 10.5 A A A 6.5 6.75 10 11 9.5 A A 7.5 7.5 7.25 A 11.25 A A 5.25 A 8.25 9.75 7 A A A

Name:

Barnes

Surname

Jessica

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
156.75
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
PT FD A 11.5 8 10.75 9 6.75 A A A 6.25 6.75 8.5 10.5 A A 9.75 7 9.25 A 8.25 A A 6.75 7.5 7.5 8.75 4.5 A A 9.5

Name:

Leavitt

Surname

Roxanne

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
66
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 5.5 6.75 A A A A A 7.75 8.75 A A A A A 6 5.75 A A A A A 8 8.5 A A A A A 9

Name:

Ramirez

Surname

Jane

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
169.75
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
PT FD A 22.5 6.5 7.25 8.75 A A A 9.25 10.75 8.5 8.5 7.25 A A 10.75 8.75 8.5 A 11.25 A A 6.75 8 A 9.5 8.75 A A 8.25

Name:

Ramirez

Surname

June

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
157.75
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 13.5 5.25 8.75 9.25 7.25 A A A 5.75 9 6 8.5 A A 10 4.25 6.25 11.5 6.5 A A 9.75 6 7.75 4.5 8.75 A A 9.25

Name:

Reed

Surname

Kenneth

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
42.75
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
PK FD A A A A 4.5 A A A 4.75 2.25 A 3.75 4 A A 3 2.75 A A 7.5 A A 5.5 4.75 A A A A A A

Name:

Roberts

Surname

April

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
74
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 5.25 7 A A A A A 8.25 7 A A A A A 8 9 A A A A A 10.75 9.75 A A A A A 9

Name:

Roberts

Surname

Sherry

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
75.5
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 9.5 6.75 A A A A A 6.25 9.5 A A A A A 8 10.75 A A A A A 7.5 8.25 A A A A A 9

Name:

Roberts

Surname

William

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
PT FD A 7 6.5 A A A A A 10.75 8.75 A A A A A 6.75 8.25 A A A A A 7.75 5.25 A A A A A 10.75

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.