Sample  Forms

                            
Sandra's Home Child Care
               xxx Eastbourne Avenue, Ottawa, Ontario, K1K 0H6
                                   Phone:613 xxx xxxx

                Parental Consents Form (Sign if in agreement)
__________________________________________________________



My full name is  _______________________________________

I hereby give consent for my child ________________________
  
     1.  To be picked up, in my absence, by __________________
         ________________________________________________
                                                             __________ (sign )

    2.  To attend daily outings (eg parks, museum, library, playgroups)
         in Ottawa                                      ____________(sign)

    3.  To attend a swimming or wading pool with Sandra Smith
                                                              ___________ (sign)

    4.  To use a plastic yard pool, in Sandra Smith's presence
                                                               ___________(sign)

    5.  Special arrangements as follows: to __________________

         _______________________________________________

                                                             _____________(sign)


As  ________  Caregiver, I do understand my responsibilities in the above areas.


________________________               _______________________
Sandra Smith                                       Date
                               Rates and Policies

Hours of Operation
    Operating hours are  from 7 am - 5:30 pm Mondays through Fridays.

Fees /Forms of Payment
    The daily fee is $35 per day, $175 per week and is due weekly.  I will accept personal cheques or cash.

Open Door
     You are invited and welcome to visit anytime your child is present.

My Holidays/Illness
     I will be closed for the following Statutory Holidays :
New Year's Day,  Family Day,  Good Friday, Easter Monday, Victoria Day, Canada Day, Civic Holiday, Labour Day, Thanksgiving Day, Christmas Day and Boxing Day.

     No payment is expected if I take a day off for sickness or unexpected events or vacation..

Meals

     I will provided nutritious and healthy morning snacks, lunches and afternoon snacks.

Clothing
     Please send extra clothes and socks.

Diapering/Toileting
     Please provide diapers as well as wipes and any necessary ointments.  I will be very happy to assist in toilet training but in cooperation with you.

Immunizations
     Immunizations must be current.

Tax Receipts
     I will provide to you a receipt for taxation purposes at the end of the year.

_________________                          Date_________________
Parent

__________________                         Date_________________
Sandra Smith