Contract Agreement
Date of Contract __________ Trial Period ends______________ Full Contract Effective Until _____________
This Contract is for the care of:
1st Child’s Name__________________________________ Sex____ Birth date ___/___/___/ Age ______
2nd Child's Name__________________________________ Sex____ Birth date ___/___/___/ Age ______
Child’s Home Address_______________________ City___________State_______Zip_____
Child’s Home Phone # _____________________ Child’s Address_________________________________
City____________________State___________Zip____________ Child lives with ___________________
The following agreement is made between:
1. Mother/Legal Guardian _____________________Home Phone_____________Work Phone__________
Home Address (if different than child’s)______________________________________________________
Employer’s Name and Address_____________________________________________________________
And
2. Father/Legal Guardian______________________Home Phone_____________Work Phone__________

Home Address (if different than child’s)______________________________________________________
Employer’s Name and Address_____________________________________________________________
And
Child Care Provider Danielle Dailey of Kids’ Kingdom Family Child Care
Home Phone (413) 267-9061
Address 2 Green Street Monson, MA 01057
Emergency Information
In the event that a parent cannot be contacted, please list two people who can be notified in the case of an emergency.
Name_______________________________Phone_____________Relationship to Child_______________
Name_______________________________Phone_____________Relationship to Child_______________
Basic Rates and Payment Policies:
The payment fee shall be $____________ for □Full Time □Part Time Care, and shall be paid no later than the Thursday prior to week of care. Payments in the form of check or cash may be placed in an envelope with child’s name on it and placed in the tuition box. Care shall be provided normally from
□ Monday From______ To _______ □ Tuesday From______ To _______
□ Wednesday From______ To _______ □Thursday From______ To _______
□ Friday From______ To _______ □ Saturday From______ To _______
Additional Fees: ______________________________________________________________________________________
It is important that arrival and departure times are punctual so that we can all get settled and proceed with our activities. If you need care beyond the contracted hours you will need to prearrange this with the provider. The provider is under no obligation to provide an extension of time outside of contracted hours. Late arrival does not justify late departure.
Overtime Rates:
1. For the purpose of this agreement, overtime will be considered as drop off before ______a.m./p.m. and pick-up after _______ a.m./ p.m.
2. If the parent/legal guardian makes prior arrangements with the provider, the child may stay overtime at the following rate
$__________ per_________ or portion thereof.
3. If the parent/legal guardian has not informed the provider that he or she will be arriving earlier or later than the agreed upon times, the following rate will be charged: $__________ per _________.
Late Fees: A charge of $10 per day will be charged for any late payments made after 6 p.m. Thursday prior to the week of care. Care will not be provided for clients with outstanding fees. Child care will be reinstated when payment and late fees are paid in full.
Non-sufficient Funds: $35 will be charged for any NSF checks along with any additional fees the provider is subjected to.
Rates Regarding Holidays, Vacations and Other Absences:
1. The following are paid holidays when they fall on a day regularly scheduled for care:
New Year’s Day, Martin Luther King’s Birthday, President’s Day, Patriots’ Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day, Christmas Day
2. Charges for a child’s absence will be:
Normal Rate (unless a designated “vacation day”, as outlined in Parent Handbook, is used then the day would be charged at ½ rates).
3. Charges related to provider’s illness or other emergency that prohibit care will be:
No charges for unscheduled closings that prohibit care
4. Charges related to provider’s scheduled vacation are:
½ of the child’s contracted rate during scheduled vacation day(s)
5. Charges related to parent(s)/guardian(s) scheduled vacation are:
Normal rate (unless use of a designated “vacation day”, as outlined in Parent Handbook, is prearranged and used at which ½ rate would be charged.
6. Other: ____________________________________________________________________________________________________
Other Charges:
1. There will be an extra charge for the following supplies when not provided by the legal guardian(s):
_______________________________________________________________________________
2. A holding fee (deposit) of $__________ is required to be paid on ____________________ which will be applied to the last week’s payment or forfeited if the Child does not come for care as agreed.
3. A non-refundable registration fee of $_________ is required to be paid on ________________, and then yearly thereafter by the first week of August.
Trial Period:
A ___2___ week trial period will be in effect starting on the first day of care and ending on ________________. During this trial period, either party may choose to discontinue services with written notice. Parent will only be charged for day(s) child actually received care during trial period.
Termination Procedure:
This contract may be terminated by either parent/guardian or provider by giving __2___ week’s written notice in advance of the ending date, or __2__ week’s tuition in lieu of notice. Payment by parent/guardian is due for the notice period, whether or not the child is brought to the provider for care. The provider may terminate the contract without giving notice if the parent/guardian is in substantial violation of the agreement and/or if the safety or health of children/staff is endangered. Failure by the provider to enforce
one or more terms of this contract does not waive the right of the provider to enforce any other terms of the contract.
Transportation:
This signed contract gives the provider permission to transport by car or stroller or walk said child(ren) to the following locations off the premises. The parent will always be notified of an outing before it takes place. All children will be in regulation car seats/booster seats for their age and weight and all other children will wear seat belts.
1. ___________________ 2. __________________ 3. ___________________ 4. __________________
Agreement:
I/we have read the Parent Handbook and contract and will comply with all the provisions contained therein. At this time I/we shall enter into contract with Kids’ Kingdom Family Child Care for care of above named child(ren) with the understanding that we shall work together on the behalf of the child(ren).
This contract is in effect until a change is made in writing or upon termination of care. Both parties agree to cooperate and work together on behalf of the child and accept this agreement as a binding contract.
This contract is subject to review and renewal on ___________. Any changes made by the provider to the terms of the contract must be made on the renewal date unless mutually agreed to before hand by the provider and parents or guardians who are parties to this contract. Otherwise, this contract will remain in effect until the renewal date or upon termination of care as set forth herein.
Signatures:
By signing this contract, parent/guardian(s) agree to abide by the written policies of the provider. The provider may amend the policies by giving the parent/guardian(s) a copy of the new or changed policies at least ___4___ weeks before they go in effect.
Mother/Legal Guardian’s Signature: _______________________________ Date: ___________________
Father/Legal Guardian’s Signature: ________________________________Date: ___________________
Co-Signer’s Signature: ___________________________________________Date: ___________________
If the parent or legal guardian is under 18, a co-signer must sign this agreement and act as a guarantor to the contract and agree to be bound by all financial terms.
I have discussed and reviewed this contract and policy handbook and agree to provide care for the above indicated child(ren), to be placed in my home as long as the terms of this contract are upheld.
Provider’s Signature: ____________________________________________Date: ____________________
Legal Address of Provider: ___2 Green Street_____________City: _Monson____ State: MA Zip: 01057
Contract Terminated on : _______________ Reason for Termination: ______________________________
____________________________________________________________________________________________________________________________________________________________________________