Disco Groups Childcare Reimbursement
Each family can submit up to 6 reimbursement forms per quarter.*
Please submit your request no later than 30 days after the group meeting.
You can expect your reimbursement check within two weeks from the date of submission**
If you have any questions, please contact Jane (jane@discochurch.com).
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Email *
Winter 2023
Name *
Phone *
Address (full address for reimbursement check to be mailed) *
Date of meeting *
MM
/
DD
/
YYYY
Disco Group Attended? *
Scale of Reimbursement per child
1 child $15.00
2 children $20.00
3 children $25.00
4 children $30.00
5 children $35.00
x1 kid
+5 kids
How many children were present? 
How much did you pay your babysitter(s)?
 *
A copy of your responses will be emailed to the address you provided.
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