Parent's First & Last Name:
City: __________ State: ___ Zip: ____
Home Phone: ___________ Work Phone: _________ Cell Phone: ________
Name & Age of all children that will be cared for using our facility:
Length of Contract: Payment Schedule:
_______________months. _______________per week.
Full payment is due for all the participating children in your family every Monday or the following business day if the Day Care is closed due to a holiday for the next week's service. The Day Care may exercise the right to decline the care of a child if their parent's account is not current. We will notify child services if children are dropped off at our facility without our consent and they will be reported as abandoned.
Payments made are for the reservation of services only and will be forfeited if not used. Neither refunds nor credits are given under any circumstances.
If a check "bounces" for insufficient funds, an additional fee of $_____ will be charged. Following the event of a "bounced" check future payments may be required to be made in cash or certified check. The Day Care is closed on Saturday and Sunday and on all Federal Holidays. Weekly fees are not prorated for "Holiday" weeks.
To reserve an opening at the day care during extended absences due to vacations or illness the payee may pay 50% of the customary weekly fee to maintain eligibility for day care services when the child returns to the Day Care. If the reservation is not maintained during the child's absence, the Day Care may or may not accept the child back. The Day Care's policy regarding the following: Hours that the Day Care is open; the earliest a child may be dropped off; the latest a child may be picked up; Meals and Special Foods; Medications and Accommodations for Medical Conditions; Drop off and Pick Up procedures for individuals that are not Parents or Legal Guardians; and all other policies that oversee this agreement are in the Day Care's Handbook and is now incorporated into this contract through reference. These policies may be also be altered if needed in the future with sufficient legal notice to the parent or legal guardian, without voiding this specific agreement.
Either party may terminate this contract at any time by supplying a written notice of termination on a specified date to the other party, with at least two weeks notice prior to the stated date of termination.
If there is any litigation needed between the Client and Day Care it shall be filed and tried in the Day Care's local jurisdiction.
In agreement to the above mentioned terms the Client and a representative of the Day Care sign below:
This contract shall be governed by the laws of the State of __________ in __________ County and any applicable Federal Law.
Signature of the Client
Signature of a Day Care Representative