Controller’s Office
615 City Park Avenue
New Orleans, LA 70119
Phone: (504) 483-4675
Fax: (504) 483-4033
Childcare Promissory Note
Delgado Community College and _____________________________ enter into this agreement to pay for unpaid childcare (day care) balances as of ____________________. Payments must be made in accordance with the below payment schedule until paid in full.
I authorize Delgado Community College to deduct (after payment of tuition and other educational related charges) from my Pell Award, GSL and/or scholarship all monies owed to the College for Day Care Services. If this does not cover the full past due balance, the following payment schedule will be placed into effect:
Payment Schedule: Payments of $_______________per month are due on the 15th of each month for the following months________________________through____________________. If payment is not received by the 15th of the month, a $5 late fee will be added to my account balance. If payment is not received by the 20th of the month, my child will not be allowed to return to the Day Care Center.
________________________________________
Print Name Approval:
________________________________________ _____________________________
ID # Director of Accounts Receivable
________________________________________ _____________________________
Signature Date Date Approved