1.The following agreement is made between __________________ and ________________________ and Nancy Jandt (provider).
2.Care for ________________________________________will be provided on ________________for the hours of ____________________.
3.This agreement will be renewed on a yearly basis in the month of June.
4.My fees are as follows:
a. A non refundable deposit equal to two weeks fees will be due either upon enrollment or paid out as agreed to. This will become your final two weeks fees upon written notice of termination of this contract.
___________paid upon enrollment
____________to be paid as follows:
b. Payment may be made either by Automatic Payments through Reliafund or payment may be made by cash or check. Choose one of the following options:
Payment schedules and fees are as follows:
_______Automatic Payment
Payment will be deducted from your account on the Friday
previous to the week of care.
Fees are ____________per week
________Payment by check or cash
The rate schedule at Mrs. J's Family Child Care will be
structured in the following manner if this option is chosen.
__________per week if paid by pickup on the Friday previous
to the week of care.
__________per week if paid by Monday morning of the week of care
__________per week if paid by Monday evening of the week of care
$5.00 per late day charges thereafter. If fee is not paid by Tuesday care may be refused until weekly fee and all late payments are made.
c. In the unpleasant event of a NSF check you will be liable for any bank service charges I incur as the result of the NSF check. Thereafter, payment may be required in cash.
d.There is no refund for early pickup. Late fees are $5.00 for the first quarter hour past contracted pickup time and then $1.00 per minute thereafter. This fee is to be paid before the child is dropped off the next day. Exceptions m
ay be made at
t
he providers discretion for bad weather or when prior arrangements are made.
I understand that the provider is a mandated reporter of suspected child abuse or neglect.
Termination voids this agreement.
I agree to the above terms and fees.
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(Signed) (Dated)
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(Signed) (Dated)
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(Signed) (Dated)