Common use of Signature Date Clause in Contracts

Signature Date. Please check if you wish to opt out of any of the described services: I do not wish to have my child care service referred to parents. I do not wish to have my child care service listed on the Child Care Aware® of Missouri online database. I understand I can still be referred through telephone referrals and can have my information added to the online listing at any time if I choose. OFFICE USE ONLY Initials Date WLS ID#