CHILD CARE AGREEMENT
This Agreement is made on [date] between [Provider name or center], license number [number], with address at [address] (the "Provider"), and [Parent 1 name] and [Parent 2 name], with address at [address] (the "Parents").
1. Child
[Child full name], date of birth [date]. Start date of care: [date].
2. Schedule
Care is provided [days of the week] from [opening time] to [closing time]. The Provider is closed on [holidays and closure days], listed in the attached calendar.
3. Rate
The rate is [amount] per [week or month], paid in advance every [Monday or first of the month] by [payment method]. The rate is due for holidays, sick days and vacation days of the child.
4. Enrollment fee and deposit
A non-refundable enrollment fee of [amount] and a deposit of [amount], applied to the last [week or month] of care.
5. Late payment and late pickup
Payments more than [number] days late carry a fee of [amount]. Pickup after closing time costs [amount] per [number] minutes.
6. Authorized pickup
The child will be released only to the Parents and to these adults, who show photo ID: [names, relationship and phone].
7. Health
The Parents will provide the immunization record required by the state. A child with [fever over a set temperature, vomiting, diarrhea or a contagious condition] stays home until [condition for return].
8. Medication
The Provider gives medication only with written permission from the Parents, in the original container and as labeled.
9. Meals
The Provider supplies [meals and snacks provided]. The Parents supply [formula, special diets]. Allergies: [allergies].
10. Emergencies
In an emergency, the Provider will call 911 and then the Parents. The Parents authorize emergency treatment if they cannot be reached. Emergency contact: [name and phone].
11. Photos
[ ] The Parents allow photos of the child in daily updates to the family. [ ] Photos may be shared on the Provider's social media.
12. Termination
Either side may end this Agreement with [number] weeks of written notice. The Provider may end it at once for non-payment or conduct that puts other children at risk.
13. Governing law and signature
This Agreement is governed by the laws of [state]. The parties agree to sign it electronically, with the same effect as a handwritten signature.
Provider Name: ______________ Date: ______________ | Parent signatures Names: ______________ Date: ______________ |
