Payment Receipt — Childminding Manager

Receipt Reference

Receipt No (leave blank to auto-generate)

Childminder's Details

Name *

Registration No

Address

Postcode

Mobile

Parent's / Guardian's Details

Name *

Address

Postcode

Mobile

Child / Children's name(s)

Payment Details

The sum of (£) *

Date of payment

Payment Method

Cash Cheque Bank transfer

For the period

Received from

Signatures

Childminder's Signature

Payer's Signature