LITTLE TREASURES DAY CARE
Corine Davis
Laramie, WY 82072
PARENT / PROVIDER CONTRACT
A. TERMS OF CARE
1. I, Corine Davis, have an agreement with ___________________________________ to provide family home care for said child(ren):
(1)____________________________ Birth date:_____________19____
(2)____________________________ Birth date:_____________19____
under the following conditions beginning the _________ day of _________________19____ and terminate on the _________ day of ______________19____. All care has a required two week notice to end care.
The schedule of care will be as follows:
(Fill in the time that care is needed)
MONDAY ____________________________
TUESDAY ____________________________
WEDNESDAY _________________________
THURSDAY ___________________________
FRIDAY ______________________________
DROP-IN _____________________________
B. TUITION
1. The tuition for the above mentioned child(ren)is $75.00 per week for full time or $3.00 per hour for part time.
DEPOSIT:
A deposit totaling two weeks tuition is due at time of admission. The deposit will be used to pay for the last two weeks if an appropriate termination notice is given. The deposit will not be returned if a two week written notice is not given. The deposit will also be forfeited if the child is not enrolled for at least six months. The deposit will also be used to pay any fees that are owed at departure. If the deposit is forfeited, it becomes the property Family Day Care.
C. LATE FEES
1. If pick up is after the scheduled time above, an additional $1.00 per child will be charged for each minute past the agreed time. Unless extenuating circumstances occur, the late fee remains and must be paid when your child is picked up. Your child will NOT be admitted back to day care until the late fee is made.
D. TERMS OF PAYMENT
1. Payments will be made in advance on the Friday of each week by cash, check, or money order.
2. Parent has until pick up time on Friday to pay provider. After that parent will be charged $10.00 per day-this includes the weekend. Child will NOT be accepted into care until payment and late fees have been made. If late fees and/or payment is not paid and child is not accepted into care parent will still be responsible for payment for those days that are missed.
3. If a check should be returned or determined to be "NSF" for any reason, the parent must make all future payments by cash or money order. A fee of $30.00 will be charged for NSF checks or closed accounts. This fee plus the amount of check is due the same day you are notified, by the bank or myself, of your bounced check. The parent agrees to pay a $20.00 service fee for returned checks and any of the fees incurred due to the returned check. Receipts will be issued for payments.
4. All parents that are part of the daycare assistance program through the Department Of Social Services are responsible for payment of the difference of what DFS pays and the actual fees charged.
E. MEALS
(Circle all that apply)
BREAKFAST
MORNING SNACK
LUNCH
AFTERNOON SNACK
SUPPER
EVENING SNACK
F. MEDICAL
1. A medical power of attorney will be provided to Little Treasures Daycare to cover any emergency situations. It is understood that a conscientiousness effort will be made to notify the parents. If the you are unable to be located, your child ill be transported by ambulance to the most appropriate medical facility. The expense of this service will be the responsibility of the parent. At time of registration parents must supply the names of three people to be contacted in case of emergency if the parents cannot be reached.
G. TERMINATION
1. Unless this contract sets a definite time of duration of child care, parent must agree to providing two weeks written notice for discontinuation of services. No refund will be made if parent does not give proper written notice and payment will be made for those two weeks.
2. Any violation of any article contained within this agreement will be just cause for termination of Family Home Care as determined by the Family Home Care provider.
4. During the first two weeks of care there will be a trial period. Either the parent or provider may end the agreement by giving five days written notice.
5. I reserve the right to terminate any child or family from the program who does not abide by the policies set forth in this policy handbook. A two week written notice is required by either party to terminate care, though payment is still required for those two weeks. The provider may terminate without two weeks notice for non payment of tuition or habitual lateness in payment of tuition.
6. Failure of provider to not enforce a policy, does not make the rest of the policies or contract void. Provider may enforce at other times or when she feels it is needed.
ENROLLMENT POLICY:
All necessary forms MUST be completed and returned to me before I will assume the responsibility of caring for your child. All forms must be updated every year; in January.
_____ Signed Parents Agreement
_____ Emergency Information
_____ Child Release Authorization & Custody Information
_____ Wyoming Immunization Certificate
I/We____________________________________________________________
have received and read the Parent Handbook and will comply to all provisions contained herein, and shall at this time enter into agreement with Little Treasures Daycare for the care of my/our child/ren:
__________________________________________
__________________________________________
I agree that in case of an accident or injury, emergency medical/dental treatment may be obtained for my child/children.
A weekly rate of $75.00 for full time and $3.00 for part time will be charged for my child, whether he/she is present or not.
Additional hours, when approved, will be $3.00 per hour or a portion thereof per child.
In the event that I fail to pay for child care services, and I am turned over to a collection agency for non-payment of such service, or other violations of this agreement, I understand that the provider will accrue, and I agree to pay, interest of the unpaid balance of this account at the rate of 1.5% per month (18% annual rate). In the event this account becomes delinquent, I agree to pay any and all costs of collection, including attorney fees and court costs.
I have read this agreement carefully and agree it is legal and binding, and I agree to abide by it's contents.
This agreement will be effective for the time of care stated on page 1 of the Parent/Provider contract.
PARENT / LEGAL GUARDIAN REMARKS
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
P. HOME CARE PROVIDER REMARKS
Parents are given a copy of this contract and the Parent Handbook for their records. They are required to initial each page indicating they have read, understand, and agree to it.
Q. PARENTS AND PROVIDER SIGN HERE THAT THEY AGREE TO ALL TERMS OF THIS CONTRACT.
Mother's Signature & Date______________________________________
Father's Signature & Date______________________________________
Legal Guardian's Signature & Date________________________________
Provider's Signature & Date_____________________________________
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