Small Group Childcare Expense Reimbursement Form


Reimbursement Chart
CR.png
 
 
Guidelines

Childcare Reimbursement Guidelines:

  1. Group Leaders are reimbursed at a set rate for the cost of an individual childcare worker. You may hire more than one childcare worker if the childcare needs determine it.
  2. Group Leaders are responsible for acquiring the appropriate number of childcare workers and a safe location for group childcare.
  3. A check will be issued to reimburse the group leader as determined by the set rate.
  4. Please turn in your reimbursement form monthly.
  5. This form is for Vintage Message Series small groups or any approved small group curriculums.
 
Reimbursement Payable to Group Leader:
Full Name *
Full Name
Phone *
Phone
Address *
Address
Fill out small group information below for each group meeting.
Meeting 1
1st Date *
1st Date
Date of Small Group Meeting
See reimbursement chart above
Max of 1.5 hours
See reimbursement chart above
$
Meeting 2
2nd Date
2nd Date
Date of Small Group Meeting
See reimbursement chart above
Max of 1.5 hours
See reimbursement chart above
$
Meeting 3
3rd Date
3rd Date
Date of Small Group Meeting
See reimbursement chart above
Max of 1.5 hours
See reimbursement chart above
$
Meeting 4
4th Date
4th Date
Date of Small Group Meeting
See reimbursement chart above
Max of 1.5 hours
See reimbursement chart above
$
Meeting 5
5th Date
5th Date
Date of Small Group Meeting
See reimbursement chart above
Max of 1.5 hours
See reimbursement chart above
$
Total to Be Reimbursed
$
* Please check the form for accuracy before continuing.