This contract is made between the parent(s)/guardians:
_____________________________________________name of parent(s)
_____________________________________________address of parents(s)
and name of family child care provider for the care of the following
children:
_____________________________________child’s name and date of birth
_____________________________________child’s name and date of birth
_____________________________________child’s name and date of birth
The payment for care shall be $_____________ per week/ day/ hour
and reflects a schedule as follows:
arrival time _____am and pick up time _____pm on the following days:
Payment is due to the provider in advance of care and paid on the following
day of the week: ___________________. Accepted methods of payment
include cash, personal check, credit card, or money order. If a personal
check is returned due to a lack of funds, the parent/guardian must pay a
$ ____ returned check fee. If a check is returned more than one time, only
cash or money orders will be accepted as payment.
If a payment is not made on time, the following fee will apply: $_______
The provider will take _____ weeks vacation during the calendar year and
will give parents _____ week’s notice of such upcoming vacations. Parents
{are or are not}
expected to pay for care on those vacation days.If a parent plans on taking a vacation and the child will not be in care, the
provider must be given _____ weeks notice. Parents {
are or are not}expected to pay during their scheduled vacations.
When the provider is ill and unable to provide care, she will make every
effort to provide as much notice as possible. Parents
{are or are not}expected to pay on provider sick days.
When a child is ill, the parents are expected to make every effort to give the
provider as much notice as possible. Parents {
are or are not} expected topay on child sick days.
If a child does not arrive for the day and no notice has been given to the
provider, parents are still expected to pay.
Additional charges:
The provider will charge additional fees as follows: (i.e. for supplies,
special trips, damaged property, etc).
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Termination Procedures:
This contract may be terminated by the parent(s) or the provider. A ____-
week notice prior to the last date of care is required.
The provider may immediately terminate this contract without any notice if
payment is not made on time.
Other:
•
If the provider chooses not to enforce any portion of the contract, itdoes not give up the provider’s right to enforce any other portion of
the contract.
•
The contract can be revised at any time by the provider if necessary.Signatures:
The signatures below indicate agreement with this contract and with the
written policies of the provider (contained in a separate document). The
provider may change policies as needed with advance written notice.
__________________________ ___________________________
Parent’s name Parent’s signature/date
__________________________ ____________________________
Parent’s name Parent’s signature/date
__________________________ ____________________________
Provider’s name Provider’s signature/date
If the parent or legal guardian is under the age of 18, a co-signer must sign
this agreement and act as guarantor to the contract and agree to be bound
by all financial terms.
