AGREEMENT FORM 2020-2021Day Care Agreement • August 5th, 2020
Contract Type FiledAugust 5th, 2020NAME OF CHILD FEE AMOUNT$130.00 PER-DAY-WEEKPer Month DAY PAYMENT TO BE MADEOn the first Monday of the month Services to be provided as part of the day care fee (examples; transportation, care, meals, etc.) Creative Moments 2-day Early Childhood Program provides a preschool program for 4-year- olds, which includes group activities, literature, and organized play. (See Brochure) CHILD’S ARRIVAL TIME9:00 am CHILD’S DEPARTURE TIME12:00 pm PERSONS DESGNATED BY PARENT TO WHOM THE CHILD MAY BE RELEASED LATE FEE $1.00 PER MIN-HRper minute Extra services to be provided at an additional fee if applicable 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-OPERATOR DATE SIGNATURE PARENT OR GUARDIAN DATE DATE OF CHILD’S ADMISSION 9/9/2020 PERIODIC