AGREEMENTDaycare Agreement • March 3rd, 2014
Contract Type FiledMarch 3rd, 2014NAME OF CHILD START DATE FEE AMOUNT $ PERDAY WEEK PAYMENT TO BE MADE ON MONDAYS WEEKLY BI-WEEKLY MONTHLY SERVICES TO BE PROVIDED AS PART OF THE DAY CARE FEE (EXAMPLES: TRANSPORTATION, CARE, MEALS, ETC.) FULL TIME PART TIME DROP IN ROOM ASSIGNMENT MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY CARE MEALS TRANSPORTATION DIAPERS & WIPES DAYCARE SCHOOL AGE AM ENRICHMENT PM ENRICHMENT PKC EXTENDED DAY CAMP CHILD’S ARRIVAL TIME CHILD’S DEPARTURE TIME PERSONS DESIGNATED BY PARENTS TO WHOM CHILD MAY BE RELEASED LATE FEE $1.00 PER MIN-HR MINUTE EXTRA SERVICES TO BE PROVIDED AT AN ADDITIONAL FEE (IF APPLICABLE) TUITION RATE APPLE/TITLE XX REGISTRATION FEE: PRE-K COUNTS DEPOSIT (Last week of care): CONTRACTUAL ALLOWANCE PROMOTION (Optional): LQ EMPLOYEE DISCOUNT (FACILITY) Payment Method: TE Check Cash Credit Card TOTAL DUE WEEKLY