2941

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Form 2941 May 2005 Child Care Operation Sign-IN / Sign-OUT Log Date Child’s Name Time In Parent or Caregiver’s Signature Time Out Parent or Caregiver’s Signature 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.

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2941

Transcript of 2941

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Form 2941May 2005

Child Care Operation Sign-IN / Sign-OUT Log Date

Child’s NameTime

InParent or Caregiver’s

SignatureTime Out

Parent or Caregiver’sSignature

1.2.3.4.5.6.7.8.9.10.11.12.13.14.15.16.17.18.19.20.21.22.23.24.25.26.27.28.29.30.31.32.33.34.35.