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Parent/Provider Contract

This contract is entered into by and between Sabrina Harris and
(Parent's name):____________________________________ for the provision of child care for:

(Child's name):_____________________________________.

Child care will begin on:_____________________________.
New clients will be placed in my care on a two week trial basis. This allows all parties to get acquainted and should difficulties arise, each party has the opportunity to terminate care in the early stages and seek alternative arrangements

The following forms must be complete and returned prior to your child's first day:

  • Application
  • Emergency Form/Emergency Cards
  • Medical Authorization Form
  • Signed Contract
  • Signed Discipline Statement

The information on these forms must be kept current. If there is any change, the parents do hereby agree that they shall notify the provider immediately. The Health Status Form must be updated and signed by your child's physician on a yearly basis.

Hours
Opening time is 5:00 AM. and pickup time is not later than _____unless prior arrangements have been made

Care will typically begin and end as follows:
Monday

Tuesday

Wednesday Thursday Friday
Begin:
End:

Meals

Meals will be served at the following times:
Begin ServingTime
End Serving Time
Breakfast
7:30
8:00
A.M. Snack
10:00
10:30
Lunch
12:00
12:30
P.M. Snack
3:00
3:30
Dinner
6:00
6:30

I will provide all meals for your child. I ask that no candy, sweets or fast food be brought into the home. If you would like to bring treats for a special occasion, please contact me first. All infant formula and baby food is supplied by the parent.

Payment Policy
The charge for your child is $______ per ________.
It is agreed that payment shall be made in full on or the________________working day of each week, prior to care given, with no deduction for absence.

Payments not made by the end of the day of attendance each week, will incur a $5.00 late fee per each day payment is late. Failure to have payments current by Friday, will require payment to be brought up to date before your child may continue attendance.

The parents understand and agree to pay a late pick up fee of $5.00 per child for each 15 minute period the child is not picked up after closing time.

If a check is returned from the bank, the parent will be charged an additional service fee of $15.00. After two returned checks, no personal checks will be accepted. Cash, certified check or money order will be the only forms of payment allowed.

Overtime is offered only on a prearranged basis or in emergency situations. The charge will be $2.50 per hour.

You will be notified in advance of any extra charges to be incurred for field trips or additional activities. The parents agree to make payment for these activities by the day of the activity.

The provider may take two weeks unpaid vacation each year. The parents will be notified 30-6O days prior to the vacation and the parent is responsible for securing alternate care.

Rate increase will be made not more than once per calendar year. There will be an annual rate review to address cost of living and operating cost changes.

Illness
I will care for your child while ill, only if the illness is minor and non-contagious. If your child becomes severely ill, begins to run a fever during the day, or if in sole judgement of the Provider, your child is too ill to remain, you will be notified and asked to pick up your child. Please pick your child up promptly. A sick child needs their own parent and their own bed.

"Sick child policy", if in the event the child/ren are sick for an extended period of one week, the fee will be reduced to 50% until the child is well. This fee is due in advance each week.

Parents must keep emergency contact information up to date.

Discipline
You will receive a written statement of our discipline statement which must be read and returned prior to your child's first day in care.

Termination
The provider reserves the right to terminate this contract at any time for sufficient reason including, but not limited to late payment, consistent misbehavior of the child, or unforeseen problems which may occur with the parents or the child.

Parents may terminate this contract by providing the Provider written notice of such termination a minumum of two weeks before the effective date of termination. Parents not providing the minimum of two weeks notification shall be liable for termination charges of $60.00 per child

Provider Responsibilities
I will provide a safe child care home. The environment, interaction and activities will support the physical and emotional needs of the children in my care. Completely supervised indoor and outdoor play is provided. Toys are furnished for children. I will not be responsible for lost or broken toys from home.

Children will rest daily.
In the event of my absence, _____ ___ _________ ________ will be supervising the children.

Parents' Responsibility

Parents agree to notify provider of any changes in the child's routine. Parents will supply a clean, seasonally appropriate change of clothes. If needed, parent will supply diapers, wipes and lotion. When the child is toilet training, parents will supply training pants and several changes of clothing.
Report any changes in address, phone numbers, employment, work hours, or persons designated to pick up your child, immediately so that I may contact you in the event of an emergency

SIGNATURES

_____________________________ _____________________________ __________

Mother (or guardian) (printed name) (date)

_____________________________ _____________________________ __________

Father (or guardian) (printed name) (date)

_____________________________ _____________________________ __________

Child Care Provider(Signature) (printed name) (date)

Child Care Agreement

I,(Parent's name) ________________agree to the following: Pay fee of ________ (mo./wk./day/hr.) ________________(day of week) per.

Make child care payment on Late payment fee ______

Services to be provided as part of the child care fee (transportation, meals, etc.) are: ____________

_______________________________________________________________________________

  • Child's typical arrival time:__________________
  • Child's typical departure time: . Late pick up fee ________
  • Follow the procedures, as outlined in the contract
  • Supply necessary medical and development information
  • Obtain health assessments as requested by the provider;
  • Notify provider when my child is scheduled for routine visits and obtain a form to complete and return
  • Cooperate with provider in the follow up of any medical, dental, or developmental needs of my child
  • Complete a medication consent form when requesting medication administration
  • Agree to discuss my concerns with the provider
  • Notify provider in advance if I plan a birthday celebration for my child, or intend to bring in special treats to be served to all children.
  • No food, other than pre-approved celebration treats will be brought in the home

I have read and understand the provider's philosophy on discipline.

I will provide the provider with the items, such as wipes, diapers, sunscreen, etc., necessary for my child's care.

I will provide information on how to contact me in an emergency situation, which I will update when changes occur and every 6 months

I will notify provider when my child is ill or any family member has a contagious disease

I will notify provider and sign my child in and out every time my child arrives and departs with me or a person I authorize

Designated persons to whom the child my be released are:_________________________________

_______________________________________________________________________________

Legal Guardian Signature: ______________________________________ Date:_______________

Provider Signature: ___________________________________________ Date:_______________

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