Momma Bear
Service Contract
This agreement is made between
Parent / Responsible Party #1
Name: ____________________________ Phone: ______________________
Address: _______________________________________________________________
Street City State Zip
Parent / Responsible Party #2 (if applicable)
Name: ____________________________ Phone: ______________________
Address: _______________________________________________________________
Street City State Zip
AND
Daycare Provider
Provider: Wendy A.
Provider Substitutes/Additional Assistants: Scott A., Jennifer S., Amanda E. & Catherine H.
Phone: 515-577-4643 Cell, 515-237-XXXX Home
Address: XXX XXXX Ave. Des Moines, IA
Email: Mommabearcare@aol.com
Website: www.mommabearcare.com
Service Hours
Under this contract, childcare will be provided for ______________________ during the hours of 7AM-5:30 PM on
Monday through Friday. If the parent is going to be late in picking up their child, they are responsible for notifying the
provider as soon as possible so that arrangements can be made. Repeated late pickups can result in termination of
this agreement by the provider. In addition, a fee of $ 5 may be charged for each 15 minutes that the parent is late in
picking up their child.
Parents are welcome to visit at any time their child is in attendance, however parents are encouraged to take their
child with them when they leave. While this is not a requirement, very young children do not have a clear
understanding of time and they expect to go home with their parent when they arrive at daycare even if it is early in the
day. If you have forgotten a needed item, you may drop it off inside the door without announcement. If you have
siblings and need to take one without the other for any reason, please call and we can bring the child out to you.
Rates
The agreed upon fee is $_______ and is due in advance on Monday on a weekly basis at drop off. Parents can pay
ahead as desired. Late payments will incur a $5 late fee for each day the payment is late (including Monday). Late
payments can result in termination of this agreement by the daycare provider or suspension of childcare services until
payment is made in full. All payments are non refundable even if services are not utilized. A deposit equal to one
weekly fee will be required to enroll. This deposit is nonrefundable and, after the first 2 weeks of attendance, will be
applied to the last week of care. Overtime services may be provided at the provider’s discretion at the rate of $7 per
hour and it must be arranged in advance.
Checks or cash will be accepted for payment. Any returned check fees will be the responsibility of the parent and will
incur a minimum fee of $29. If the bank returns 2 checks, the provider reserves the right to demand all future
payments by cash.
Attendance
We contract with families for a regular schedule of days. Such time is paid for regardless of actual attendance. The
parent needs to inform the provider if the child is not attending on a given day to allow for food preparation and
planning. To minimize disruption in the daycare routine, children will not be accepted for care after 10 AM unless
approved at least 24 hours in advance (exceptions will be made in emergencies on a case by case basis).
Termination of Services
Either party may terminate this contract, and the childcare services specified within, provided 2 weeks notice is given
(or payment of 2 weekly fees). Weekly fees pay for the child’s spot and are due even if the full week is not utilized. Full
payment of the final 2 weeks of fees are due within 24 hours of notice. During the first 2 weeks of service, either party
with no penalty may terminate this contract.
The childcare provider may terminate the agreement immediately in the event that the child or parent’s behavior
endangers the other children or the provider. The provider may also terminate the contract early for violations of this
agreement or of the policies outlined in the Parent Handbook.
Closures
Daycare fees will remain the same as per the attendance policy. The fee for childcare has been annualized and
converted to a set weekly amount to account for closures so payment will remain consistent. Parents are responsible
for arranging alternate childcare during daycare closures. If you do not have back up care arranged; the number for
the Child Care Resource & Referral of Central Iowa is 246-3570. They can refer you to other local providers who can
provide drop in care.
Holiday closures: Daycare will be closed during the following holidays: New Years Day, Memorial Day, Independence
Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, Christmas Eve, Christmas. When the holiday falls
on Saturday, it will be observed on the Friday before. When the holiday falls on a Sunday, it will be observed on the
Monday after. Daycare will close early at 3PM on New Years Eve.
Provider closures: The provider agrees to give the parent as much notice as possible for unplanned closures to
accommodate time off for provider illness or emergencies. The provider agrees to give the parent a minimum of a week
notice for planned closures (personal or vacation days). Provider closures shall not exceed 12 days within the
calendar year. If for some reason the 12 days must be exceeded, those days will not be charged to the parents
(weekly rate prorated to a daily amount).
Substitute Providers
Occasionally there are times when the provider will need to leave for a short period of time. A substitute provider
(listed above) will provide care. The substitute will be responsible to follow all daycare policies and is considered a
representative of Momma Bear Daycare. Any complaints, comments or suggestions regarding care given by a
substitute should be addressed to the provider (Wendy A.).
Transportation
The parents/responsible parties give permission for the provider and/or substitute provider to transport the children for
field trips and/or activities outside of the home. These will be scheduled during the contracted hours and telephone
communication will always be available.
Emergencies
In case of emergency, every effort will be made to contact the parent and/or designated contact person. In cases of
extreme emergency, an ambulance will be called and the child will be transported to the parent’s preferred hospital.
Authorization Signature(s)
By signing this contract, you agree to abide by the policies and procedures specified within this contract and within the
Momma Bear Daycare Parent Handbook. The procedures for termination of this contract are located within this
document under the Termination of Services section.
Contract effective from the effective date to July 31, 2007 Effective Date: ____________
Parents / Responsible Parties
________________________________________________________________________
Signature Printed Name Relationship
________________________________________________________________________
Signature Printed Name Relationship
Provider
_________________________________
Service Contract
This agreement is made between
Parent / Responsible Party #1
Name: ____________________________ Phone: ______________________
Address: _______________________________________________________________
Street City State Zip
Parent / Responsible Party #2 (if applicable)
Name: ____________________________ Phone: ______________________
Address: _______________________________________________________________
Street City State Zip
AND
Daycare Provider
Provider: Wendy A.
Provider Substitutes/Additional Assistants: Scott A., Jennifer S., Amanda E. & Catherine H.
Phone: 515-577-4643 Cell, 515-237-XXXX Home
Address: XXX XXXX Ave. Des Moines, IA
Email: Mommabearcare@aol.com
Website: www.mommabearcare.com
Service Hours
Under this contract, childcare will be provided for ______________________ during the hours of 7AM-5:30 PM on
Monday through Friday. If the parent is going to be late in picking up their child, they are responsible for notifying the
provider as soon as possible so that arrangements can be made. Repeated late pickups can result in termination of
this agreement by the provider. In addition, a fee of $ 5 may be charged for each 15 minutes that the parent is late in
picking up their child.
Parents are welcome to visit at any time their child is in attendance, however parents are encouraged to take their
child with them when they leave. While this is not a requirement, very young children do not have a clear
understanding of time and they expect to go home with their parent when they arrive at daycare even if it is early in the
day. If you have forgotten a needed item, you may drop it off inside the door without announcement. If you have
siblings and need to take one without the other for any reason, please call and we can bring the child out to you.
Rates
The agreed upon fee is $_______ and is due in advance on Monday on a weekly basis at drop off. Parents can pay
ahead as desired. Late payments will incur a $5 late fee for each day the payment is late (including Monday). Late
payments can result in termination of this agreement by the daycare provider or suspension of childcare services until
payment is made in full. All payments are non refundable even if services are not utilized. A deposit equal to one
weekly fee will be required to enroll. This deposit is nonrefundable and, after the first 2 weeks of attendance, will be
applied to the last week of care. Overtime services may be provided at the provider’s discretion at the rate of $7 per
hour and it must be arranged in advance.
Checks or cash will be accepted for payment. Any returned check fees will be the responsibility of the parent and will
incur a minimum fee of $29. If the bank returns 2 checks, the provider reserves the right to demand all future
payments by cash.
Attendance
We contract with families for a regular schedule of days. Such time is paid for regardless of actual attendance. The
parent needs to inform the provider if the child is not attending on a given day to allow for food preparation and
planning. To minimize disruption in the daycare routine, children will not be accepted for care after 10 AM unless
approved at least 24 hours in advance (exceptions will be made in emergencies on a case by case basis).
Termination of Services
Either party may terminate this contract, and the childcare services specified within, provided 2 weeks notice is given
(or payment of 2 weekly fees). Weekly fees pay for the child’s spot and are due even if the full week is not utilized. Full
payment of the final 2 weeks of fees are due within 24 hours of notice. During the first 2 weeks of service, either party
with no penalty may terminate this contract.
The childcare provider may terminate the agreement immediately in the event that the child or parent’s behavior
endangers the other children or the provider. The provider may also terminate the contract early for violations of this
agreement or of the policies outlined in the Parent Handbook.
Closures
Daycare fees will remain the same as per the attendance policy. The fee for childcare has been annualized and
converted to a set weekly amount to account for closures so payment will remain consistent. Parents are responsible
for arranging alternate childcare during daycare closures. If you do not have back up care arranged; the number for
the Child Care Resource & Referral of Central Iowa is 246-3570. They can refer you to other local providers who can
provide drop in care.
Holiday closures: Daycare will be closed during the following holidays: New Years Day, Memorial Day, Independence
Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving Day, Christmas Eve, Christmas. When the holiday falls
on Saturday, it will be observed on the Friday before. When the holiday falls on a Sunday, it will be observed on the
Monday after. Daycare will close early at 3PM on New Years Eve.
Provider closures: The provider agrees to give the parent as much notice as possible for unplanned closures to
accommodate time off for provider illness or emergencies. The provider agrees to give the parent a minimum of a week
notice for planned closures (personal or vacation days). Provider closures shall not exceed 12 days within the
calendar year. If for some reason the 12 days must be exceeded, those days will not be charged to the parents
(weekly rate prorated to a daily amount).
Substitute Providers
Occasionally there are times when the provider will need to leave for a short period of time. A substitute provider
(listed above) will provide care. The substitute will be responsible to follow all daycare policies and is considered a
representative of Momma Bear Daycare. Any complaints, comments or suggestions regarding care given by a
substitute should be addressed to the provider (Wendy A.).
Transportation
The parents/responsible parties give permission for the provider and/or substitute provider to transport the children for
field trips and/or activities outside of the home. These will be scheduled during the contracted hours and telephone
communication will always be available.
Emergencies
In case of emergency, every effort will be made to contact the parent and/or designated contact person. In cases of
extreme emergency, an ambulance will be called and the child will be transported to the parent’s preferred hospital.
Authorization Signature(s)
By signing this contract, you agree to abide by the policies and procedures specified within this contract and within the
Momma Bear Daycare Parent Handbook. The procedures for termination of this contract are located within this
document under the Termination of Services section.
Contract effective from the effective date to July 31, 2007 Effective Date: ____________
Parents / Responsible Parties
________________________________________________________________________
Signature Printed Name Relationship
________________________________________________________________________
Signature Printed Name Relationship
Provider
_________________________________
Sample Contract
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