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1-2-3 Family Day Care POLICY
1-2-3 Family Day care
311 Pearl St.
Boscobel WI 53805
Phone (608) 375-2349
Fax (608) 375-2928
Email krisstnr@mwt.net
Web site
www.geocities.com/chevyman53805/daycarepage.html
Your Childs name ____________________________________________
Birthdate__________________________________age____________________
__
Address_______________________________
Mailing address_____________________________
City______________________________State____________Zip
code________________
Home Telephone # __________________________ Cell Phone #
_________________________
Work phone #__________________________________ Pager
#__________________________
Email
address_________________________________________________________
_________
This Contract goes into effect on _______________________________
Hours that you need child care
Monday _______________-to-_____________________
Tuesday_____________-to-____________________
Wednesday________________-to-_______________
Thursday______________-to-_____________________
Friday__________________-to-______________________
I will provide care for the hours stated above. See handbook for days off. Illness,
emergency ECT…
Signed by Kristina J. Steiner
________________________________________________Date____________
_____
Rates for your child (ren) are ____________________ per week!
To be paid on Monday Tuesday Wednesday Thursday Friday
Fees are to be paid for that week at the time of drop off the first day of that week
your child is to attend.
There is a $5.00 per half hour late pick-up charge. (Rounded to the nearest ½
hour) as stated in the handbook pg. 6
1. Parent agrees that weekly fees are due and payable each week
regardless of attendance.
2. The following will be paid holidays at 1-2-3 Family Day Care, and no
childcare services will be provided: New Year’s Eve, New Year’s Day, Good
Friday, Easter, Memorial Day, Fourth of July, Labor Day, Thanksgiving and the
day after, Christmas Eve and Christmas Day. If a holiday falls on a Saturday or
Sunday, the daycare will observe the holiday on Friday or the Monday after.
Fees will be due for these holidays as listed in the 1-2-3 Family handbook. 1-2-3
Family Day Care will also be closed for two weeks of vacation per year with no
charge to the parent.
3. 1-2-3 Family Day Care can also be closed for 5 PAID sick days per
calendar year, and 3 paid professional training days per calendar year.
5. The weekly tuition for childcare will be $_____ for the above child(ren),
payable on Monday of each week. The first tuition payment will be due, prior to
the first day of care, on______, for $_______, which covers the first week of
care.
6. This contract is for the period of _________ to ________. After this
date, the contract will be required to be renewed by both the parent(s) and the
provider.
7. Parent agrees to pay $20.00, and additional bank fees incurred if the
bank returns a check to the provider. Provider reserves the right to require that
further payments are made in cash or money order.
8. Parent will pay all late, preschool, no-call/no-show and field trip/activity
fees as outlined in the parent handbook.
9. Parent agrees to pay all costs associated with collection of any unpaid
debt to the provider.
9. Parent agrees to provide 2 weeks notice prior to any vacation time.
Parent agrees to pay ½ the normal weekly rate for up to 2 weeks vacation per
year. Any additional time will be charged at full rate to
hold the child’s space in daycare. For extended illnesses/leave of absence
the rate will be ½ the normal fee to hold a space, and must be agreed upon with
provider.
• Teachers are provided two free weeks, and the remainder of the summer is
½ the normal weekly rate to hold their child’s place.
11. Parent and Provider agree to provide 2 week notice of termination of
the childcare contract. Parent agrees that if 2 weeks notice is not given
to provider prior to withdrawal of the child from 1-2-3 Family Day Care, the final 2
weeks fees are still due and payable.
Provider has the right to terminate a contract without notice in the case of harm
to other children or a dangerous situation due to a child’s intentional cause, as
well as for REPEATED disrespect for 1-2-3 Family Day Care policies.
12. Parent agrees to complete all forms required and given by 1-2-3 Family
Day Care.
Parent agrees to update personal information as changes occur. Parent
understands that child cannot remain in care without proper documentation on
file.
13. Parent agrees to provide all supplies requested by provider. Parent
Understand that if required items are not supplied, they will be
Purchased by 1-2-3 Family Day Care, and parent will reimburse provider for full
cost.
This contract is binding Failure to cooperate with 1-2-3 Family Day Cares
handbook (policy) and contract will result in termination or court action, if
necessary.
I have read and I understand the rules for 1-2-3 Family Day Care and will abide
by the policy and contract.
Parents name (print)
________________________________________________________________
_________
Parents name (print)
________________________________________________________________
________
Parent’s signature
____________________________________________________________
Date______________
Parents signature
______________________________________________________
_______Date______________
1-2-3 Family Day care
311 Pearl St.
Boscobel WI 53805
Phone (608) 375-2349
Fax (608) 375-2928
Email krisstnr@mwt.net
Web site
www.geocities.com/chevyman53805/daycarepage.html
Your Childs name ____________________________________________
Birthdate__________________________________age____________________
__
Address_______________________________
Mailing address_____________________________
City______________________________State____________Zip
code________________
Home Telephone # __________________________ Cell Phone #
_________________________
Work phone #__________________________________ Pager
#__________________________
address_________________________________________________________
_________
This Contract goes into effect on _______________________________
Hours that you need child care
Monday _______________-to-_____________________
Tuesday_____________-to-____________________
Wednesday________________-to-_______________
Thursday______________-to-_____________________
Friday__________________-to-______________________
I will provide care for the hours stated above. See handbook for days off. Illness,
emergency ECT…
Signed by Kristina J. Steiner
________________________________________________Date____________
_____
Rates for your child (ren) are ____________________ per week!
To be paid on Monday Tuesday Wednesday Thursday Friday
Fees are to be paid for that week at the time of drop off the first day of that week
your child is to attend.
There is a $5.00 per half hour late pick-up charge. (Rounded to the nearest ½
hour) as stated in the handbook pg. 6
1. Parent agrees that weekly fees are due and payable each week
regardless of attendance.
2. The following will be paid holidays at 1-2-3 Family Day Care, and no
childcare services will be provided: New Year’s Eve, New Year’s Day, Good
Friday, Easter, Memorial Day, Fourth of July, Labor Day, Thanksgiving and the
day after, Christmas Eve and Christmas Day. If a holiday falls on a Saturday or
Sunday, the daycare will observe the holiday on Friday or the Monday after.
Fees will be due for these holidays as listed in the 1-2-3 Family handbook. 1-2-3
Family Day Care will also be closed for two weeks of vacation per year with no
charge to the parent.
3. 1-2-3 Family Day Care can also be closed for 5 PAID sick days per
calendar year, and 3 paid professional training days per calendar year.
5. The weekly tuition for childcare will be $_____ for the above child(ren),
payable on Monday of each week. The first tuition payment will be due, prior to
the first day of care, on______, for $_______, which covers the first week of
care.
6. This contract is for the period of _________ to ________. After this
date, the contract will be required to be renewed by both the parent(s) and the
provider.
7. Parent agrees to pay $20.00, and additional bank fees incurred if the
bank returns a check to the provider. Provider reserves the right to require that
further payments are made in cash or money order.
8. Parent will pay all late, preschool, no-call/no-show and field trip/activity
fees as outlined in the parent handbook.
9. Parent agrees to pay all costs associated with collection of any unpaid
debt to the provider.
9. Parent agrees to provide 2 weeks notice prior to any vacation time.
Parent agrees to pay ½ the normal weekly rate for up to 2 weeks vacation per
year. Any additional time will be charged at full rate to
hold the child’s space in daycare. For extended illnesses/leave of absence
the rate will be ½ the normal fee to hold a space, and must be agreed upon with
provider.
• Teachers are provided two free weeks, and the remainder of the summer is
½ the normal weekly rate to hold their child’s place.
11. Parent and Provider agree to provide 2 week notice of termination of
the childcare contract. Parent agrees that if 2 weeks notice is not given
to provider prior to withdrawal of the child from 1-2-3 Family Day Care, the final 2
weeks fees are still due and payable.
Provider has the right to terminate a contract without notice in the case of harm
to other children or a dangerous situation due to a child’s intentional cause, as
well as for REPEATED disrespect for 1-2-3 Family Day Care policies.
12. Parent agrees to complete all forms required and given by 1-2-3 Family
Day Care.
Parent agrees to update personal information as changes occur. Parent
understands that child cannot remain in care without proper documentation on
file.
13. Parent agrees to provide all supplies requested by provider. Parent
Understand that if required items are not supplied, they will be
Purchased by 1-2-3 Family Day Care, and parent will reimburse provider for full
cost.
This contract is binding Failure to cooperate with 1-2-3 Family Day Cares
handbook (policy) and contract will result in termination or court action, if
necessary.
I have read and I understand the rules for 1-2-3 Family Day Care and will abide
by the policy and contract.
Parents name (print)
________________________________________________________________
_________
Parents name (print)
________________________________________________________________
________
Parent’s signature
____________________________________________________________
Date______________
Parents signature
______________________________________________________
_______Date______________
