Child Care Form – Fill Out and Use This PDF

			CHILDCARE CONTRACT
This Child Care Agreement (the “Agreement”) is made and entered into as of the								day of
	, 20		by and between		, (“PARENTS”) and
	(“PROVIDER”).

WHEREAS, the PARENTS desire to secure and maintain the services of PROVIDER and the PROVIDER desires to enter into an Agreement of employment with the PARENTS upon the terms and conditions hereinafter set forth.

Name of PARENTS:

, and

Address(F):

city

State

Zip

Address:(M):

city

State

Zip

Home Phone(F): (

)

-

Work (

)

-

Cell (

)

-

Home Phone(M): (

)

-

Work (

)

-

Cell (

)

-

Name of Child(ren):

,

,

Sex of Child(ren)

:

M

F

M

F

M

F

Dates of Birth

:

/

/

/

/

/

/

NOW, THEREFORE, in consideration of the premises and the mutual agreements hereinafter contained, the parties hereby agree as follows:

1.Employment and Times: PROVIDER shall care for above named children for a period of

months/years commencing on the following date:

/

/

and ending on the following

date:

/

/

.

Child(ren) will

be

dropped off at

the mutually

agreed

upon

hours

of

am/pm until

am/pm on the following days:

Mon Tue

Wed

Thu

Fri

Sat

Sun

2.Holiday, Vacations and Other Absences: The PROVIDER will be closed on the following days or holidays:

3.Compensation: Provider shall receive as compensation for his/her services the sum of $

per hour week	year.
There will be a fee of $		for late pick-up for each half hour that the child(ren) is/are not
picked up.

4.Childcare Provider Policies:

Food. PROVIDER will furnish food. If your child brings a snack, please bring enough for everybody.

Medications. Medications can be given only with the PARENT'S or doctor’s direct written authority. This should include the name of the medication, amount to be given, and time to be administered.

Illness. Children cannot attend if they have a temperature of more than 101 degrees Fahrenheit or if they have a communicable disease, are vomiting, or have diarrhea. PARENTS will be notified if children become ill. Children must be picked up as soon as possible. Please bring all medications in their original bottle, with written instructions on the amount to be given and the time to be administered.

PROVIDER will furnish food, diaper wipes, rash ointments, sunscreen, and insect repellant. All other necessities or amenities are PARENTS’ responsibility.

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Guidance and discipline. PROVIDER tries to create an environment for children that is supportive and respectful of their needs. Different methods of discipline are used for different situations. When children are arguing or out of control, PROVIDER will insist on a "time out" or cooling off period. When children are doing something that is not appropriate, PROVIDER will redirect them to a more suitable activity. At times, PROVIDER also may choose to ignore misbehavior. PROVIDER does not advocate corporal punishment and will not physically punish your child by spanking, slapping, or hitting. Our goal is to help each child develop a strong sense of self- discipline and self-esteem.

Emergencies. In the event of a medical emergency, fire, or natural disaster, PROVIDER will take immediate steps to ensure child’s safety and will contact PARENTS as quickly as possible.

Naps/rest time. Children usually take regular naps. Infants nap as needed, and older children generally sleep in the afternoons after lunch. Even if children do not go to sleep, PROVIDER requests that they lay down for a rest time and quietly read.

PARENTS must notify PROVIDER at least two weeks in advance of when PARENTS plan to take a vacation. If two weeks notice is not provided then full payment for all days and hours that the child would normally attend is required.

Absences. PARENTS must call by am if child will be late or not attending that day. If

PROVIDER has not received word of absence, child(ren) will be subject to withdrawal from the program. PROVIDER’S operating expenses will be the same whether PARENT’S child attends or not. As such, no deductions in the fee will be made for sick days or off days due to inclement weather.

5.Termination. All new children will be cared for on a two-week trial basis. During this trial period

either party may terminate the contract. After the trial period, a week notice is required to

terminate the contract. Termination notice will NOT be accepted while either PROVIDER or PARENTS are on vacation.

IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above.

____________________
Mother/Guardian Signature	Date
____________________
Father/Guardian Signature	Date
____________________
Provider Signature	Date

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