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Feb 2013

Child Care Contract


Childs Name: _________________________________ Mother: ______________________________________ Address:_______________________________________ Work Address: __________________________________ Birth date: ____________________ home phone: __________________ cell phone: ____________________ work phone: ___________________

Father: ________________________________________ home phone: _________________ Address:________________________________________ cell phone: ____________________ Work Address: ___________________________________ work phone: ___________________ (email address: ___________________________________)

Morning program 8:30 - 12:30 2 day $320/month 3 day $480/month 4 day $640/month 5 day $800/month

Full-day program 8 am - 4:30 2 day $440/month or $110/week 3 day $660/month or $165/week 4 day $880/month or $220/week 5 day $1100/month or $275/week

Your childs contract days & hours are: Monday ________ AM to ________ PM Tuesday ________ AM to ________ PM Wednesday ________ AM to ________ PM Thursday ________ AM to ________ PM Friday ________ AM to ________ PM The payment fee shall be $_________ per month or $__________ per week due at drop-off the first day of care each week or month. First day of care will begin on (date) __________________. A holding fee/deposit of $_________ is due on (date) _____________. The deposit will be applied to the last two weeks of care provided a two week written notice was given of withdrawal. Early drop-off or Late pick-up fee: $1/minute/child Late Payment fee: $10 per day per child if payment is not received on time. Bounced Check fee: $35 plus bank fees.

Happy Earth Playschool, 131 Linda Avenue, Riverhead, New York 11901, 631-779-2643

Feb 2013

CLOSINGS Labor Day (Sept. 3) Thanksgiving (Nov. 21-23) Winter Break (Dec. 24-Jan. 1) Mini-Spring Break (March 27-29) Memorial Day (May 27) Pre-summer Break (June 24-28) Independence Day (July 4) *We may be closed when Riverhead School District closes due to weather. Your commitment to a schedule reserves the space for your child and dictates our staffing, as a result we are unable to prorate for holidays, vacations, absences or illness- we are not able to offer make-up days. Re-enrollment Summer enrollment is optional, however, to reserve a place for the upcoming Fall a deposit and commitment is required. Trial Period The First two weeks in my program are an adjustment or trial period. During this time, either of us may terminate this contract immediately without written notice. Termination after the Trial Period After the two week trial period has been completed, you must give me a two-week written notice if you wish to terminate this contract. I may terminate the contract at will without giving any notice. By signing this contract, you acknowledge that you have read my policies outline in the handbook and agree to follow them. I may amend my policies and/or contracts at any time by giving you a copy of the new policies at least two weeks before they go into effect. If I fail to enforce one or more of the terms in this contract or the handbook that does not waive my right to enforce any of the other terms of this contract. Parent/Guardian: ______________________________________________________________ Parent/Guardian Signature: ______________________________ Date: _________________ Providers Signature: ____________________________________ Date: ________________

Happy Earth Playschool, 131 Linda Avenue, Riverhead, New York 11901, 631-779-2643