BCC Childcare Reimbursement Form
Please, submit one form per month within 1 week of the last group meeting time of each month. BCC will reimburse $10 per week, per family. You must have paid for childcare for attending a Community Group in order to be reimbursed.
Your Phone Number
Your E-mail Address
Where You Want To Receive Your Reimbursement Check
Provider's Name, Dates Utilized, and Phone Number
Please, list all dates of childcare, who provided the care, and their phone number. If multiple people provided care during this time period, please list each person, dates they provided care, and their phone number.
Amount To Be Reimbursed
Multiply the number of dates care was provide by 10.
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This form was created inside of Brownwood Community Church.