Saskatchewan Social Services

Child Care Attendance Report
For the month of May, 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    • W - Withdrawn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 May, 2025
1
Thu		 2
Fri		 3
Sat		 4
Sun		 5
Mon		 6
Tue		 7
Wed		 8
Thu		 9
Fri		 10
Sat		 11
Sun		 12
Mon		 13
Tue		 14
Wed		 15
Thu		 16
Fri		 17
Sat		 18
Sun		 19
Mon		 20
Tue		 21
Wed		 22
Thu		 23
Fri		 24
Sat		 25
Sun		 26
Mon		 27
Tue		 28
Wed		 29
Thu		 30
Fri		 31
Sat

Name:

Barnes

Surname

Donald

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
153.75
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 5.75 9 A A 5.75 8 7.25 6.75 7.25 A A A A 10 10 9 A A 9 7.25 7.5 7 6 A A 9.75 11.25 A 11.5 5.75

Name:

Barnes

Surname

Jessica

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
150.75
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 7.25 9.75 A A A 8.75 5.5 8.5 6.75 A A 8.75 6.25 8.75 A 8.5 A A 9.75 6.5 7.75 A A A A 11.75 9 9 9 9.25

Name:

Leavitt

Surname

Roxanne

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
59.25
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 5.25 6.75 A A A A A 6.75 6.25 A A A A A 7.75 10 A A A A A 10.25 6.25 A A A

Name:

Ramirez

Surname

Jane

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
IN FD A 10.5 5.5 A A 9.25 6.25 8.25 5.75 A A A 9 5.75 8.75 9.5 8 A A 10.5 9 7.25 6 A A A 10.5 6.5 9.25 7 5.25

Name:

Ramirez

Surname

June

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
130.75
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 8.75 8.75 A A 7.25 9.5 A 10.25 A A A A 7.75 8.25 10.25 9.25 A A 6.25 6.75 A 8.5 5.5 A A A 8.75 5.5 A 9.5

Name:

Reed

Surname

Kenneth

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
35
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 3 A A A 4.5 9 3.5 2.25 A A A A 5.5 3 A A A A A 2.25 A 2

Name:

Roberts

Surname

April

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
62.5
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
IN FD A A A A A 6 8.5 A A A A A 8 7.25 A A A A A 9.25 6 A A A A A 8 9.5 A A A

Name:

Roberts

Surname

Sherry

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
75.25
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 A A A A 9.25 5.25 A A A A A 8.75 10.75 A A A A A 11.25 10.5 A A A A A 8.25 11.25 A A A

Name:

Roberts

Surname

William

Given
Client ID
Child is Subsidized?
Totals
Alternate hours Hours Fee
58.75
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 A A A A 8.25 6 A A A A A 4.75 8.75 A A A A A 9 7.75 A A A A A 5 9.25 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.