PARENTAL CHILD CARE AGREEMENT

Name __________________ I have enrolled my child in: _____Full-time care for $140.00/week (Under 3) _____Full-time care for $130.00/week (3-6 years and potty trained) _____Drop-in care $35.00/day (as available) My child will be in daycare the following hours: Monday: Tuesday: Wednesday: Thursday: Friday:

Arrival ____________ Arrival ____________ Arrival ____________ Arrival ____________ Arrival ____________

Departure____________ Departure ____________ Departure ____________ Departure ____________ Departure ____________

_____

I understand that I must notify the director with schedule changes as soon as possible and I will pay for childcare even if my child is absent per guidelines outlined in the policy manual which I have received.

_____

I understand that there are charges related to my child staying past daycare hours as outlined in the policy manual which I have received.

_____

I understand that payment for daycare services is due within five days of billing, and that late fees will be assessed per guidelines in the policy manual which I have received.

_____

I understand that if I choose to leave this daycare, any fees already paid are forfeited. I also understand that notification of discontinuance of care must be given two weeks in advance. Fees will continue to accrue for two weeks following notification, and are due in a timely manner per procedures outlined in the policy manual which I have received.

Parent Signature ______________________________

Date _____________

Director Signature _____________________________

Date _____________

parental child care agreement.pdf

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