Childcare Finanical Agreement


This agreement contains the financial terms which are agreed between

____________________________________________ and Allison Piper     Pipers Playhouse               

Childcare will be provided for____________________________________________________

The hours and days we have agreed that the child(ren) will be in care are as follows:

                    Week One Schedule                                          Week Two Schedule

Monday _________(am/pm) to _______(am/pm)  Monday _________(am/pm) to _______(am/pm)

Tuesday____  ____(am/pm) to _______(am/pm)  Tuesday____  ____(am/pm) to _______(am/pm)

Wednesday ______(am/pm) to _______(am/pm)  Wednesday ______(am/pm) to _______(am/pm)

Thursday ________(am/pm) to _______(am/pm)  Thursday ________(am/pm) to _______(am/pm)

Friday___________(am/pm) to _______(am/pm)   Friday___________(am/pm) to _______(am/pm)

Saturday ________(am/pm) to ________(am/pm)  Saturday ________(am/pm) to ________(am/pm)

Sunday _________(am/pm) to ________(am/pm)   Sunday _________(am/pm) to ________(am/pm)

*If there are any changes to this schedule, the care giver/parents will be notified as soon as possible.

Parents agree to pay care giver according to schedule.  The amount we have agreed upon is as follows:

based on a hourly rate of: $              
or daily rate of: $                  

_________________________per day

_________________________per week (week 1)

_________________________per week (week 2)

_________________________per hour

*Choose only one rate

Payments will be made every ____________________________

As stated in your contract there are a limited number of spaces available and a space has been reserved for your child that cannot be filled on a short-term basis.  Therefore, weekly payments are not based on child�s attendance. No refunds are given for late arrivals/early departures, or exclusion due to illness.

Payments are to be made by         cash        cheque        post dated cheques

If payments are made by cheques and the cheque is returned by the bank marked insufficient funds there will be a $10.00 fee and in addition I will accept cash payments only from that day forward.

Cheques are to made out to Allison Piper.

Receipts will be provided          weekly         monthly        yearly   (circle one)

I understand that when my childcare payments are not made in a timely fashion, that may result in termination of care.  I understand that upon any such termination I will still own my caregiver any monies due to her for childcare services rendered, and all other applicable fees.

This agreement will come into effect on: ___________________________________________________



Provider Signature: ________________________________________



Parents Signature: ________________________________________
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