Additional Training Hour

You have the opportunity to earn 1 additional training hour for demonstrating the use of the information you learned at a training class from The Childcare Network. There is no deadline for this credit.

▪ Based on the information you received at the training, do an activity with the children in your care, or improve something in your program or environment.
▪ Complete this form, describing what you did. You may include photos. Have fun and be creative!
▪ Submit to The Childcare Network with $5 payment
▪ You can also submit this form by mail by downloading this form and mailing it with the $5 payment to
4701 Market St. Suite D
Fredericksburg, VA 22408
▪ After your submission is reviewed you will receive your certificate by email.
▪ You are eligible for a maximum of one training hour per person, per class.
▪ Please use a separate form for each person and each training class.

Name of Training Class(*)

Invalid Input

Training Date(*)

Invalid Input

Your Name(*)

Please type your full name.

Email Address(*)

Invalid Input

Childcare Program (If Applicable)

Invalid Input

Address(*)

Invalid Input