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Date Submitted: 09/24/2011 05:30 PM

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Childcare Agreement

Welcome to my family childcare. My name is Shanice Malloy and my purpose of this agreement is to define the mutual terms for childcare arrangements. If any changes occur, please notify me in writing as soon as possible. At anytime, parents are allowed to visit my home during childcare hours.

Child’s Name: ________________________________ Date of Birth: _______________________________

Parent’s Name: _______________________________

Childcare Hours: ____________ am/pm-_______________am/pm

Days of Care: ___________________________________________

Childcare services will begin on: ___________________________

All meals will be provided and prepared at no additional cost by myself. Please notify me of any allergies.

If your child is going to be late, sick, or absent, please call in advance. Payment will still be expected. On the following days my business will be closed: January 1, January 18, February 15, May 31, July 5, September 6, October 11, November 11, November 25-26, and December 27-January 3.

For year 2011, my vacation period will be from December 26th-December 30TH. I will re-open on January 3rd, 2011. Payment is still expected.

Your childcare fee per week is: $ _________ OFC will pay: $ _______________ You will pay: $____________

A registration fee of $40.00 must also be paid at the time of enrollment.

Fees are to be paid weekly, unless we have agreed otherwise, and at the beginning of the child’s start week. I accept cash, checks, or money orders.

If you plan to terminate services, you must submit a two week’s notice, otherwise, you will still be responsible for two weeks of care after removing your child from care.

It is my responsibility to notify you two weeks in advance of termination of this agreement, increase in childcare fees, and my vacation period.

Parent’s Signature: __________________________________ Date: ___________________

Provider’s Signature: _______________________________ Date:...