AGREEMENTDay Care Agreement • November 17th, 2020
Contract Type FiledNovember 17th, 2020NAME OF CHILD FEE AMOUNT PER-DAY-WEEK DAY PAYMENT TO BE MADE Fri. before week of service Services to be provided as part of the day care fee (examples; transportation, care, meals, etc.) Lots of love Care and Daily Activities, including physical, spiritual, and cognitive Breakfast and PM Snack Rest cot TLC CHILD'S ARRIVAL TIME CHILD'S DEPARTURE TIME PERSON(S) DESIGNATED BY PARENT TO WHOM CHILD MAY BE RELEASED LATEFEE$1.00/minute late PER MIN-HREvery minute after closing I, the parent/guardian; received complete written program information at the time of enrollment(§ 3270.121, 3280.121, 3290.121) agree to update the emergency contact/parental consent form information whenever changes occur or every 6 months at a minimum. (§ 3270.124, 3280.124, 3290.124) SIGNATURE-OPERATO..R DATE SIGNATURE-PARENT OR GUARDIAN DATE DATE OF CHILD 'S ADMISSION Periodic Review DATE OF WITHDRAWAL SIGNATURE-PARENT OR GUARDIAN DATE