Financial Contract
Date
of Contract ____________________________
Full Contract Effective Until __________________
1st
Child’s Name ________________________________ Sex _______ Birthdate
____/____/____
2nd Child’s Name ________________________________ Sex _______
Birthdate ____/____/____
3rd Child’s Name ________________________________ Sex _______
Birthdate ____/____/____
4th Child’s Name ________________________________ Sex _______
Birthdate ____/____/____
Home Address _____________________________________________________________________
City ___________________________________________ State ______________ Zip Code _______
Home Phone # __________________________________
Mother’s Name __________________________________
Home Address _____________________________________________________________________
City ___________________________________________ State ______________ Zip Code _______
Home Phone # __________________________________
Father’s Name __________________________________
Home Address _____________________________________________________________________
City ___________________________________________ State ______________ Zip Code _______
Home Phone # __________________________________
Days and Hours Your days and hours contracted for care are:
Monday ___________ a.m./p.m. to _____________a.m./p.m.
Tuesday ___________ a.m./p.m. to _____________a.m./p.m.
Wednesday ___________ a.m./p.m. to _____________a.m./p.m.
Thursday ___________ a.m./p.m. to _____________a.m./p.m.
Friday ___________ a.m./p.m. to _____________a.m./p.m.
It is very important that arrival and departure times are punctual and brief – so that we can all get settled and proceed with our activities. If you need care beyond the contracted hours you will need to prearrange this with Pamela Ball. Pamela Ball is under no obligation to provide an extension of time if such extension conflicts with her own plans. Late arrival does not justify late departure.
_______ _______ Initial
Deposit and registration Fees:
Deposit $_____________ Check #________ Date ,200 .
Registration $_____________ Check #________ Date ,200 .
Re-Enrollment $_____________ Check #________ Date ,200 .
Tuition Fees: The basic charge will be $__________ per ___________ for full-time/part-time care.
Payment in the amount of $________ shall be made:
______ Each Monday/Tuesday/Wednesday/Thursday/Friday Morning.
______ Every other Monday/Tuesday/Wednesday/Thursday/Friday Morning.
______ On the _______ and _______ of each month.
______ On the ______ of each month.
In addition, an Activity Fee of $25.00/month to help cover educational supplies and activities will be paid:
______ The first Monday/Tuesday/Wednesday/Thursday/Friday Morning of each month.
______ On the _____ of each month.
Each tuition payment is due at drop-off on the day tuition is due and in advance. If your child will not be in care on the date your tuition payment is due, payment should be paid on the last day the child will be in attendance or arrangements must be made for tuition payments to be paid prior to the due date. You may post-date your tuition check for the actual due date. Please do not put me in a position to ask for the check – please remember to bring it. Forgetting your check book is not an excuse to not pay on time and late fess will apply.
_____ _____ Initial
Late Fees: A late fee of $10.00/day will be charged for any late payments. Child care will not be provided for clients with outstanding fees. Child care will be reinstated when tuition and late fees are paid in full.
_____ _____ Initial
Non-sufficient Funds: $30.00 will be charged for any NSF checks. In addition to the NSF fee any other fees which Pamela Ball occurred due to the tuition check being returned will be billed to the parent and payment of these fess will need to be paid in cash within 24 hours of the notice. All tuition payments will need to be made in cash, money order or certified check from that point forward.
_____ _____ Initial
Overtime Fees: Overtime is considered any time outside the agreed upon interval of time. The following charges will be assessed for overtime incurred, payable upon arrival to pick-up the child:
$8.00 per hour for prearranged overtime
$1.00 per minute after the 5-minute grace period – if you are 6 minutes late you will pay the full $6.00 late fee, in case where overtime is not prearranged. Please be sure your clocks are set to the child care clock.
_____ _____ Initial
Disenrollment/Trial Period: A 30-trial period will be in effect starting on the first day of care and ending on ,200 . During this trial period either party may choose to discontinue services with written notice. Parent will only be charged for day(s) child actually received care during the trial period. Either party with 30-days written notice or equivalent tuition payment may terminate this contract. Both parties reserve the right to terminate without notice if the other party is in substantial violation of this agreement and/or safety or health of the children is endangered.
_____ _____ Initial
Agreement: I/We ______________________ have read Pam’s Play Place and Preschool Parent Handbook and this contract and agree to comply with all the provisions contained herein. At this time I/we ______________________ shall enter into contract with Pamela Ball for care of my/our child(ren) __________________________________________ with the understanding that I/we shall work together on the behalf of the child(ren) and accept this contract as a binding contract. This contract is in effect until a change is mutually agreed upon in writing or upon termination of care. This contract is subject to review and renewal on June 1, 2005, unless terminated prior to that date. Any changes made by the provider to the terms of the contract must be made on the renewal date unless mutually agreed to in writing before hand by Pamela Ball and ___________________________________, parents/guardians who are parties of this contract. Otherwise, this contract will remain in effect until the renewal date or upon termination of care as set forth herein.
_____ _____ Initial
By signing this contract I/we ______________________ have read and agree to the policies herein. I/We ____________________________ agree to all policies and procedures of Pam’s Play Place and Preschool.
(Mother/Guardian) (Date)
(Father/Guardian) (Date)
(Pamela Ball) (Date)