Common Contracts
1 similar Child Care Agreement contracts
Child Care AgreementChild Care Agreement • January 27th, 2014
Child’s name: First Middle Last Parent or guardian name: First Middle Last Parent or guardian name: First Middle Last Days and times my child will receive care: Check days of care Sunday Monday Tuesday Wednesday Thursday Friday Saturday Arrival time Departure time Fee: $ per: Date payment due: on the first day of each month Hour Day Week Month Source of payment: Parent Other (specify): Overtime rate: $ per Late fee: $ 10.00 per hour Other Fees: $ 10.00 in hour for Drop In service Description: I agree to promptly notify the child care provider of any changes of the above information. I understand that I am fully responsible for the terms of this agreement as stipulated.I have read, understand and agree to comply with the policy and procedures and information for parents given to me byOlga Babadzhanova - Little Hearts Childcare provider Name of licensee Parent or guardian signature Date Parent or guardian signature Date
