Late Fee Notice
Date: ____/____/______
Name of Child: _________________________________________________________________
Name of Parent: ________________________________________________________________
Please be advised that you are being charged a late fee of $______ which is due to being over
fifteen minutes late picking up your child. The late fee will be added to next week’s total
amount due.
_________________________________________
Staff Signature
Late Fee Notice
Date: ____/____/______
Name of Child: _________________________________________________________________
Name of Parent: ________________________________________________________________
Please be advised that you are being charged a late fee of $______ which is due to being over
fifteen minutes late picking up your child. The late fee will be added to next week’s total
amount due.
_________________________________________
Staff Signature
Go to for more free business forms