Child Parent Provider Care Contract Form PDF Details

When you become a parent, one of the most important decisions you will make is who will take care of your child when you are not able. You need to find someone who can provide the best possible care for your child and meet all their needs. This can be a difficult task, but with the help of a child parent provider care contract form, it can be much easier. A care contract form will outline the responsibilities of both the parents and the caregiver, as well as what each party expects from one another. This can help prevent any misunderstandings or disputes down the road. If you are looking for a child parent provider care contract form, look no further than this article. Here we will discuss what to include in your care contract and how

QuestionAnswer
Form NameChild Parent Provider Care Contract Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameschild development council contract, council parent contract, ny council parent provider contract, ny parent provider contract

Form Preview Example

PARENT-PROVIDER CHILD CARE CONTRACT

I.The following contract is between _____________________________________________________________________

(Parents of child(ren) in care)

and _______________________________________ located at ____________________________________________ for the

(Child Care Provider)

(Address of child care facility)

children listed below:

 

Child's Name_________________________

Date of Birth ____________________

Child's Name_________________________

Date of Birth ____________________

Child's Name_________________________

Date of Birth ____________________

Child's Name_________________________

Date of Birth ____________________

II.Standard Rates and Payment Policies:

1.A deposit of $_____________ is required. The deposit will be applied to the last week’s payment or to the termination notice period if proper notice is not given (see V. Termination procedure).

2. The fee will be $__________ per hour per dayper week (circle one)

Days and hours of care provided will be: ____________________________________________________________

3.Payment is to be given: weekly bi-weekly other ________________ on _________________________

(Day of week/month)

4.The child care provider will provide (check all that apply):

Breakfast

Morning Snack

Lunch

Afternoon Snack

Dinner

5.The parent(s)/guardian(s) will provide the following (check all that apply):

Change of Clothes Formula/Breast Milk Diapers & Wipes Infant Food

Provider will supply ______________________________________________ for an additional fee of $____________.

Other special arrangements include _________________________________________________________________

_____________________________________________________________________________________________

III.Rates for holidays, absences, vacations, overtime:

1.Care will not be provided, but payment is due, on the following holidays when they occur on a day the child(ren) is/are

regularly scheduled for care:

________________________

_________________________

 

________________________

_________________________

 

________________________

_________________________

 

________________________

_________________________

 

________________________

_________________________

2.The provider will be notified by ___________ if the child(ren) will be absent for the day.

(time)

3.Policy for payment of absences is: __________________________________________________________________

4.Fees and policies for provider’s vacation: ___________________________________________________________

5.Fees and policies for parent/guardian’s vacation: ______________________________________________________

6.If the provider is unable to provide care because of illness or emergency, the policy is:__________________________

_____________________________________________________________________________________________

7.If the parent/guardian drops off the child earlier or picks up later than the times specified above, the following overtime rate will be charged: $____________ per ____________ or portion thereof.

IV. Damages:

The policy on damage caused by the child(ren) while in the provider's care unless caused by the negligence of the provider is:

_________________________________________________________________________________________________

(This does not apply to normal wear and tear on toys or furniture, only to damage.)

V.Termination procedure:

This contract begins on the following date: _______________ and may be terminated by either parent/guardian or provider by giving

______ weeks' written notice. The provider may terminate the contract without notice if the parent/guardian is over

_______ week(s) late with scheduled payments. Parent/guardian may terminate the contract without notice if the provider does not comply with NYS child care regulations/laws. Changes to the contract, desired by either provider or parent/guardian, must be made in writing and acknowledged in writing by the other parties at least 2 weeks before the desired change takes effect. A new contract may be signed at that time to reflect the changes.

VI. Signatures:

By signing this contract, all parties agree to all of the above terms and policies, including financial responsibility for child care provided. The provider is responsible for providing all parties a copy of the signed contract.

___________________________________________________________

__________________________

Provider's signature

Date

___________________________________________________________

__________________________

Mother/Legal guardian signature

Date

___________________________________________________________

__________________________

Address of Mother/Legal guardian

Phone number

___________________________________________________________

__________________________

Father/Legal guardian signature

Date

___________________________________________________________

__________________________

Address of Father/Legal guardian

Phone number

___________________________________________________________

__________________________

Co-signer's signature (Required if parent/legal guardian is under 18

Date

years old. Co-signer must be 18 or older and by signing assumes

 

financial responsibility in case the parent/guardian fails to pay for care provided.)

 

Developed by Child Development Council

Last Revised 5/2009

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Find out how to fill out child provider care contract form step 1

2. Once your current task is complete, take the next step – fill out all of these fields - III, Payment is to be given weekly, Day of weekmonth, The child care provider will, Breakfast Morning Snack, Afternoon Snack, Dinner, The parentsguardians will provide, Change of Clothes FormulaBreast, Infant Food, Rates for holidays absences, Care will not be provided but, The provider will be notified by, time, and Policy for payment of absences is with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

The parentsguardians will provide, Rates for holidays absences, and Dinner in child provider care contract form

In terms of The parentsguardians will provide and Rates for holidays absences, be certain you double-check them in this current part. These two could be the key fields in the file.

3. Your next stage is generally hassle-free - fill in every one of the fields in Fees and policies for providers, Fees and policies for, If the provider is unable to, and If the parentguardian drops off to conclude this part.

Writing part 3 in child provider care contract form

4. Filling in The policy on damage caused by the, This does not apply to normal wear, Termination procedure, This contract begins on the, Signatures, By signing this contract all, Date, Date, Phone number, Providers signature, and MotherLegal guardian signature is vital in the fourth form section - be sure to don't rush and fill in every blank!

child provider care contract form writing process outlined (step 4)

5. As a final point, the following last segment is what you'll have to finish prior to finalizing the PDF. The blanks at issue include the following: Date, Phone number, Date, FatherLegal guardian signature, Address of FatherLegal guardian, and Cosigners signature Required if.

Filling in segment 5 in child provider care contract form

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