Thursday, May 26, 2011

Provider Parent Guardian Contract

Little Miracles Childcare Centre
Parent/Guardian/Caregiver Contract


This is an agreement to provide Child Care services for your child ______________________________,

born on ________________________. This contract becomes effective on_______________________.

I _____________________________, agree to pay: ____________ , (please Initial one below):

Per Month _____ Per Day _______ Per Hour _______

I agree to pay by way of post-dated cheques dated for the first of the month in which care is needed, when

enrolled for Full or Part Time Care to _________________________________ for Child Care Services

as shown below: Parent/Guardian Int.________.

I agree to pay at time of pick up for Drop In Care to _____________________________ for Child Care

Services as shown below: Parent/Guardian Int.________. (Please intial with N/A if not applicable).

Child Care Services Schedule: Hours in Care_________ - __________. Parent/Guardian Int._________.

Days in Care ______________________________________________. Parent/Guardian Int._________.

* I ______________________________, agree to give a 30 days written notice if or when I require these

times and dates to be changed. I understand that I will not be guaranteed a spot for my child if and/when

this written notice of change is received by ___________________________.

* I agree to supply a six months supply of post dated cheques, dated for the first of each month and then

another 1 year supply and so on (when registered for Full-Time or Part-Time Care), until I withdraw my

child and/or this contract is terminated by the Child Care Facilities. Parent/Guardian Int.________.

* I agree to pay the full fee which is due and payable by the 1st of each month prior to care needed. I also

agree that the full fee is due and payable whether my child attends on the agreed days or not, to hold my

child’s enrollment spot. Parent/Guardian Int.________.

I agree to pay an additional overtime charge of $10.00 for the 1st 15 minutes and $1.00 each additional

minute thereafter, in the event that my child is left in care longer then scheduled times as shown above. Parent/Guardian Int.________.


I have read each page in the Little Miracles Policy Handbook, I understand and agree to every policy and/or procedure outlined in the Book and will keep the Policy Handbook in my possession incase I need to refer back to it in the future. I agree upon termination of this contract to return the Policy Handbook to Monique Morash.

_____________________________ _________________________ ___________________
(Parent/Guardian Signature) (Caregiver Signature) (Date)

I _________________________, understand and agree that I am liable for all fees where 30 days notice

has not been received in person to Monique Morash and that I am also liable for any costs related to the

collection of fees, including but not limited to attorney’s fees and court costs subjected to _____________

___________________________ and or to the Staff of Little Miracles Child Care Centre.

If this agreement is to be terminated, Caregiver/Parent/Guardian agree to provide a 30 days written notice,

dated for the first of the month, and handed in person to the other party.

Parent/Guardian Int.___Caregiver Int.___
I_________________________, agree to pay a $45.00 service fee for any and all NSF cheques.
Both Parent/Guardian and Caregiver agree that there is to be a 1 month trial period in which either party

may give a 1 day written notice in person, if this contract is to be terminated. The Caregiver also agrees

to return all unused cheques if this contract is terminated. Parent/Guardian Int.______ Caregiver Int.____

I,__________________________, understand and agree that Little Miracles Child Care Centre will be

closed on the following days. I also agree that these are to be paid holidays for the Caregiver and that all fees remain the same.

New Years Eve/Day Good Friday Easter Monday Victoria Day
Canada Day Civic Holiday Labour Day Thanksgiving Day
Remembrance Day Christmas Eve Christmas Day Boxing Day

Summer Holidays:_________________________ Christmas Holidays:_________________________

I understand and agree that Summer and Christmas Holidays may or may not change every year and that

the Caregiver will supply Parent/Guardian with at least two months notice of the dates if they are to be

changed. Parent/Guardian Int._______. Caregiver Int._______.





I____________________________, understand and agree to supply the following to Little Miracles Child

Care Centre for my child ______________________’s enrollment and agree that care for my child cannot

commence until all of the below Records, Forms & Fees are in ________________________ possession

and when all Records and Forms have been checked by her.

Registration Requirements:

- Immunization Records (as per licensing) - Registration Fee: $100.00 (non-refundable)

- 6 months post-dated cheques - Registration Form & Parent/Guardian/Caregiver Contract
- General Field trip Consent Form - General Medical Consent Form

- Enrollment Deposit: $300.00 (non-refundable) secures childs spot and goes towards first months fees.

- Subsidy Verification letter with Authorization number (for families receiving subsidized child care)

I ____________________________ agree to supply Little Miracles Child Care with a healthy lunch and

enough snacks and drinks for the day, for my child _____________________, unless agreed to otherwise.

(If enrolling for the Healthy Lunch Program please Initial with N/A).

I understand that Little Miracles Child Care will supply my child ________________________ with a

healthy lunch, 2 healthy snacks & drinks for the entire day and that the Healthy Lunch Program fee

($50.00) has been added to the enrollment fee. (If not enrolling for the Healthy Lunch Program please Int

with N/A.) Parent/Guardian Int.__________. Caregiver Int.__________.


* The Caregiver agrees to supply a warm, loving and safe environment for the child enrolled & that there

will be: Adequate ventilation throughout the Centre, that gates are used on all outdoor stairways and

indoor areas, to keep fire extinguishers and alarms maintained, that toys are age appropriate & used in a

safe manner & that toys and equipment are washed regularly & when there has been an illness. Caregiver

will also ensure that all electrical outlets are covered, fire and earthquake drills are practiced monthly, that

all cleaners and sanitizers are out of reach of children, that the hot water is regulated to a safe temperature

& that all medications are out of the reach of children. Caregiver Int.________


The Caregiver agrees to use an appropriate safe car seat as per BCAA’s Child/Infant Car Seat Safety

Regulations following the child's height, weight and age when the car seat is supplied by the parent,

otherwise the Caregiver will assess on their own, the child’s current age, height and weight and use a

suitable car seat when going on fieldtrips and to/from school and other locations.

Parent/Guardian Int.___________. Caregiver Int.___________.

* I__________________________ understand and agree that all prescribed medication(s) must be signed

in by _______________________ or Substitute, or the medication(s) cannot be administered to my child.

* I __________________________ understand and agree that the Centres owner ______________ and/or

Staff do not claim any liability and/or responsibility for any injuries and/or any damages to the enrolled

child above, and/or to the Parents/Guardians of the child enrolled above, that may or may not be sustained

while on Daycare Premises, or while in the Daycare Centre’s Registered Vehicle or while on fieldtrips

outside the Centre.

* I_________________________ understand & agree that the Centres owner ________________and/or

Staff do not claim any liability and/or responsibility for any damages for lost and/or stolen items.

* I _________________________ understand and agree that if my child has a communicable disease, that

he/she will not be accepted into the centre until all symptoms have gone for at least 24 hours and that I

may be required to submit a doctor’s note before my child is readmitted into the program.

I have read, understand and agree to all the policies and procedures set out to me on the previous

two pages and in the Little Miracles Policy Handbook, and I will abide by all these policies and

procedures until I have given a 30 days written notice in person to ____________________ stating

my desire to terminate this contract. I will also abide by all these said policies and procedures until

the last day of my child’s enrollment at Little Miracles Child Care Centre.

____________________________ _________________________ ___________________
        (Parent/Guardian Signature)                (Caregiver Signature)                     (Date)

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