I, _____________________agree to have Lisa Brinkman care for
my child(ren), ______________________each day from the hour
of: ___________until: _____________.
I agree to pay Lisa Brinkman the sum of $18.00 per day for the first child present at Lisa's Home Daycare, and $16.00 per day for each subsequent child of the same family.
I agree to pay for the week in full each Friday upon the pickup of my child(ren).
I understand that for each day my child(ren) may be absent from
Lisa’s Home Daycare, no payment will be required for that day.
Signature of Custodial Parent or Court Appointed Guardian:
___________________
Date: _______________________