1)______________________________ Date of Birth _______________ Start Date: ____________
2)______________________________ Date of Birth _______________ Start Date: ____________
3)______________________________ Date of Birth _______________ Start Date: ____________
The hours of care will be as follows:
Child # as listed above Monday Tuesday Wednesday Thrusday Friday
Child 1 ________ ________ ________ ________ ________
Child 2 ________ ________ ________ ________ ________
Child 3 ________ ________ ________ ________ ________
I agree to the hours of care stated above, I will notify the Home Day Care Provider if my child(ren) will not be attending on any given day. If for any reason I may be late or unable to pick up my child(ren) at the above scheduled time, I will make alternate arrangements and telephone the Provider to notify of these arrangements. (I will be charged addition fees for early drop off & late pick ups for those arriving before or after the above noted times. Time with my family is important just as yours is to you. Current early/late charges are $5.00 per half hour.) If I am called to pick up my child(ren) because of illness or emergency, I will do so as promply as possible or make alternate arrangements for pickup of my child(ren).
Payment of weekly fee is payable FRIDAY the week before care is given in the amount agreed upond below regardless of absences or illness. If you receive a notice due to continuous LATE payment of your weekly fee, your account is subject to a $5.00 per day late charge beginning the Saturday morning after payment is due.
FLEX FEE & HOURLY RATE: Only available for sub/temp care
HALF DAY CARE 4 1/2 hours or less: $16.00 per day
FULL DAY CARE up to 9 hours: $26.00 per day
Child # as listed above Weekly Fee Adjustments Total
Child 1 __________ __________ __________
Child 2 __________ __________ __________
Child 3 __________ __________ __________
Comments regarding adjustments: ______________________________________
Based on the hours stated above, your TOTAL weekly fee will be: __________
I _______________________________ wish to hold a slot for my child(ren) ____________________
I agree to pay ____________ per week up until my actual start date which will be on ______________.
This will guarantee my child(ren) a slot in day care at Julie Ryan's home. The amount paid each week will not be refunded unless the slot cannot be guaranteed.
A security depost of _____________ will be paid prior to my start date and will be refunded the last week of needed Day Care services, should I decide to discontinue my Day Care in Julie Ryan's program. If I do choose to discontinue my Day Care, I will give the Provider a two week notice in writing. If a two week notice is not given in writing this deposit will not be refunded.
I agree to pay for all HOLIDAY ClOSURES (click on to view) listed. If I or the Provider take a vacation, I will be charged 1/2 of my TOTAL weekly fee. Vacation eligible for this discount will be 5 consecutive days (Monday - Friday). Notification in advance should be made by both parties of any vacation to be taken so appropriate adjustments can be made to the account.
If the provider is in need of a day off for unexpected or personal appointments and is unable to get them in the evening hours, I will make arrangements for pickup of my child at an agreeable time.
I have reviewed this contract with the Day Care Provider, Julie Ryan, and I agree to all the above.
____________________________________ _______________
Parent Signature Date
____________________________________ _______________
Parent Signature Date
____________________________________ _______________
Provider Signature Date
