DAYCARE CONTRACT

Date of application ______________________________ Date of start date _____________________________

Child’s name ____________________________ Age _________ Sex _________ Birth date _______________
Home address __________________________________________ City/Zip ____________________________

Parent Name 1 _____________________________________________________________________________

Home Phone _______________________ Mobile ______________________ Work _____________________
Email Address _____________________________________________________________________________
Home Address _________________________________________ City/Zip ____________________________

Parent Name 2 _____________________________________________________________________________

Home Phone _______________________ Mobile ______________________ Work _____________________
Email Address _____________________________________________________________________________
Home Address _________________________________________ City/Zip ____________________________

1. Daycare Payments can be made by cash or installment in period of 10 months. In the amount Php 600 pesos
( 100.00 for registration fee and Php 50 pesos monthly dues with the total of Php 600 pesos )

2. We are open Monday through Friday (7:30am to 4:00pm). I/We will be need childcare for our child
normally beginning at _7 : 00___________o’clock and ending at __4 : 00________o’clock.

3. Please mark the days of the week you will need day care service.
 Monday
 Tuesday
 Wednesday
 Thursday
 Friday

4. Check One…
 Option 1: I/We prefer to pay monthly (due on last dayof each month).
 Option 2: I/We prefer to pay monthly (due on the 1st of each month).

Note: To figure out the monthly payment you do the following (monthly amount × 10 months + 100 for
registration).

5. Our one time registration fee____Php 100 pesos_________.

6. The amount of the monthly dues payment per month per child is 50 pesos per month__________.
7. Persons other than parents authorized to pick up your child from [INSERT YOUR BUSINESS NAME
HERE]. Note: Written permission is necessary if you want someone other than one of the below listed to
pick up your child.

Name ______________________ Home # _______________________ Mobile # _____________________

Name ______________________ Home # _______________________ Mobile # _____________________

8. The Following subjects are of special concern to us. Both parents/custodians please initial each. Your
initials indicate each subject is read, understood, and agreed upon.

A. (______) (______) DIAPERS/WIPES: It is the parent's responsibility to provide diapers, wipes, and
diaper cream for your child. It is also the parent's responsibility to check periodically to see if or
when your child needs more diapers, wipes, and cream, (not the providers). Each child has his or
her own labeled diaper bin, either in the infant/younger toddler room or older toddler/preschooler room,
depending on the age of the child.

B. (______) (______) SHOES: Younger children love to take off their shoes. It is for this reason that we
prefer children come to daycare in shoes that lace up and/or stay on their feet. If your child has
these type of shoes on then we can control when and where they come on and off. Therefore we can
assure that his/her shoes will be available for you at pickup. However, if your child comes to daycare in
flip-flops, Crocks, or other types of shoes that fall off or get taken off, then we cannot guarantee their
availability at pickup, as they will have most likely fallen off or been taken off and hidden in a outside
toy or bush at some point during the day. In times when these type of shoes are worn, due to matters
outside of our full control, parents hereby resolve [INSERT YOUR BUSINESS NAME HERE] of
all responsibility for the shoes safe return and/or the ensuing scavenger hunt.

C. (______) (______) TRIAL PERIOD: The first 30 days of your child’s enrollment will be regarded
as a trial period, in which case either party may terminate the contract without notice. Each child
responds differently to a new environment, new children/providers, and moms/dads absence. We are
patient and good at what we do, so most of the time this is a non-issue. However, there are rare times in
which we must consider the well being of the group (the other children in our care). If for whatever
reason, either party feels our childcare environment may not be the best fit, either party reserves the
right to utilize this time period as a trial and terminate the contract without resentment, judgment, or ill-
will. In such cases, your two week deposit can either be utilized (with the exception of gross misconduct
on part of provider/parent/child) or returned to you for immediate discontinuation of service.

D. (______) (______) TERMINATION POLICY: After the first 30 days of enrollment, 60 Days written
notice from parent or provider is required to terminate the contract, with the exception of gross
misconduct on part of the provider, parent, or child. Whenever possible even more notice is better.
This helps us tremendously. Reason being, unlike childcare centers, we can only take a limited amount
of children. So when we are full we are forced to say NO to all incoming requests for childcare. If we
have advance notice of discontinuation of needed services then it is possible for us make future
arrangements with new family’s inquiring about daycare for their child. This helps to keep our open
 spots fluctuation to a minimum, and helps us be able to focus more on being the best childcare providers
we can be, instead of worrying about “the bills”, and putting food on the table.

E. (______) (______) HOURS OF OPERATION: We are open from open Monday through Friday
7:30am to 5:30pm. We close promptly at 5:30pm. At 5:30pm each day we have to quickly run off to
our children’s soccer, baseball, karate, and wresting games/practice. So please be considerate of our time
when budgeting yours. If your late to pick up “once in a blue moon”, because of bad traffic or whatever,
we understand and no hard feelings. But if late pickups become a regular occurrence, then we may not
be the best fit for your childcare needs, and we may be forced to terminate our childcare arrangement.

F. (______) (______) DAYCARE INTERIOR/EXTERIOR DOORS: Children love to go through open

doors. If a door is opened most of the younger children will follow you through it. As you can imagine
this can be disruptive to temporarily loose control of which children are in which room with each parent
pickup and drop off. So please promptly close each door after opening it without letting any
children following you through it.

G. (______) (______) GUIDELINES REQUIRING EXCLUSION FROM DAYCARE: A child with

any of the following illnesses must be completely free of any symptoms before returning to
daycare. If your child is taking antibiotics for an illness, your child may return to daycare after the
initial 24 hours of beginning antibiotics as long as he or she has a slight to no fever (under 100F under
the arm), no longer contagious, and is otherwise feeling well enough to participate in our daily schedule.
Signs of illness include the following; unusual lethargy, irritability, persistent crying for no reason,
runny nose (more than clear), cough (more than slight), difficulty breathing, diarrhea, vomiting, mouth
sores, rashes (note from doctor stating non-contagious is ok), pink eye, chicken pox, mumps, measles,
roseola, hepatitis A, impetigo, lice, ringworm, scabies, strep throat, scarlet fever, tuberculosis, shingles,
and any other contagious disease or rash. Any child with a fever of 100 degrees or above, orally (in
the mouth), or axillary (under the arm), may not attend daycare. State law requires that we notify
parents of children who have been exposed to certain contagious diseases. Please notify us if your child
becomes infected, so a note can be posted.

H. (______) (______) PICK-UPS AND DROP-OFFS: (a) Please make your pick-ups and drop-offs
brief (no more than a couple minutes). As you can imagine it takes quite a bit of effort to retain
control of a room full of two year olds. Children act up considerably when other parent’s are present. If
you linger this makes our job much harder. Please understand, we are a home daycare, and not a
mommy and me class. If you feel the need to run around and play with kids, then may we suggest you
take your child to a park and/or open your own daycare. (b) Please send your child clean, dressed (no
pajamas, unless you don't mind your child wearing their pajamas all day), fed and ready for the day, as
well as all of your child's necessary supplies needed for that day's care. (c) Never leave without telling
your child goodbye (don’t sneak out). (d) Please be in control of your child during drop-off and pick-up
times.

I. (______) (______) OTHER PARENT’S CHILDREN: Parent’s entrust us, and us alone to care for
their children. Please do not play with other parent’s children, do not pick up other parent’s children, and
do not discipline other parent’s children.
J. (______) (______) SUPPLIES NEEDED AT DAYCARE: Parents are responsible for supplying the
following items: diapers/pull-ups, wipes, diaper creams, toothbrush, weather appropriate clothes and a
change of clothes, jacket, pacifier (if needed). We supply and apply sunscreen every day to any child
playing outside. For the older children sleeping on a matt: a crib sheet, a blanket, and a pillow are
needed. If necessary a comfort object for rest-time, and any thing else your child may need. Your
child's crib sheet, blanket, and pillow should be taken home every Friday and washed and retuned
to daycare the following Monday. There is a good possibility your child will get dirty throughout the
day because of food, paint, markers, dirt, bubbles, etc. So please dress your child accordingly for play.
We are not responsible for replacing stained or soiled clothing. Furthermore we suggest that you write
your child's name on the tags of their clothing (especially socks and underwear) in order to prevent any
clothing mix-ups. Note: Please periodically check your child's locker/cubby to make sure they still have
all of their necessary items needed at daycare. Further more, as the weather changes throughout the year,
so do your child's items needed at daycare. We greatly appreciate your adherence to this subject, as
it helps ours and the children's day run more smoothly to have all of his or her necessary
belongings with them at daycare. This way we can care for your child in the best possible way.

K. (______) (______) TOYS AND PERSONAL POSSESSIONS: (a) Please do not bring your child's
toys to daycare except on designated sharing/show and tell days. As much as we try to encourage
sharing, this seldom works when it is the child's own personal toy. It only causes problems between
them and the other children. (b) Please do not ask if your child can take toys home. Daycare toys stay at
daycare. (c) We encourage you to bring a personal item from home for your child to sleep with if you
believe it will help him/her to sleep or feel more comfortable. However, we suggest you don’t get into
the habit of bringing your child’s most prized possession (their “bunny” or “blanky”) to daycare as there
is a strong possibility of it eventually getting misplaced. If it’s just used at nap time then that’s pretty
controlled and usual fine. However, if your child carries this item around with them all day then it’s only
a matter of time until it gets lost. We do our best to keep track of all the children’s items and to ensure
their availability at pickup, but keeping track of the children and ensuring their availability at pickup, is
by a very large margin, our main priority. Therefore, just as with the shoes, if a personal item gets
misplaced, parents hereby resolve [INSERT YOUR BUSINESS NAME HERE] of all
responsibility for the items safe return and/or the ensuing scavenger hunt.

L. (______) (______) DAYCARE HOURS AND COMMUNICATION: Good, open, and regular
communication is at the heart of any good childcare provider and parent team. We could not believe that
statement to be more true. However, that being said, an appropriate balance between communication and
our hours of operation should strive to be maintained. It goes unsaid that we love our job. But that job is
very demanding. In the interest of mental longevity we need our down time to recharge the batteries as it
were. So please feel free to contact us, with the smallest or slightest thought regarding your child (or
anything for that matter), but while doing so, please try and keep in mind our hours of operation are
from 7:30AM to 5:30PM Monday through Friday. Of course if it’s a real or even perceived emergency
please don’t hesitate to contact us after hours. Example, your child has unusual or excessive diarrhea or
vomiting and you are trouble shooting as to why, or to inquire or to give us a heads-up with regards to a
multitude of other troubling sicknesses, or something that can simply not wait. But for the everyday
questions and/or the ones that can wait until tomorrow please hesitate until such time. Thank you for
your understanding.
By signing this agreement, I/we understand and hereby agree to comply with all of the policies and procedures
of [INSERT YOUR BUSINESS NAME HERE] with regards to fees, health, attendance, and other items
specified in the parent-provider contract/enrollment application and the Parent Handbook provided. This
contract will be entered into at the time of enrollment and/or when the parent-provider contract/enrollment
application is signed by both parent and provider. This contract between the parent and provider will be
considered over on the last day of a 60 Day notice given by either the parent or the provider, or the last day the
child attends [INSERT YOUR BUSINESS NAME HERE]. I/we am aware of the provider holidays,
sick/personal days, two weeks of paid vacation per year, and late charges. I/we am aware that regular
payment rates apply for parent vacations, provider vacations, weeks with holidays, and provider's
sick/personal days. I/we understand that no refund of payment can be given. I/We understand that my
child’s scheduled days of enrollment cannot be switched around on a weekly basis. I/we understand that
to enroll my child, a two week nonrefundable deposit is required.

BOTH PARENTS/CUSTODIANS NEED TO READ AND SIGN.

Parent Signature ________________________________________________ Date _______________________

Parent Signature ________________________________________________ Date _______________________

Provider Signature ______________________________________________ Date _______________________