School/center Retainer Agreement Template

Download a blank fillable School/center Retainer Agreement Template in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete School/center Retainer Agreement Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.


School/ Center Retainer Agreement
I, ___________________________________________________________, authorized representative
of _______________________________________________________________________enter into an
agreement to retain The Ollena Center for Early Childhood Assessment, LLC for the period of
_______________ school year(s) (August 15th thru May 15th) for the sum of $12,000.00 (Twelve
thousand dollars) per school year to provide the following services:
1. Up to 10 one hour classroom observations
2. Gesell Developmental Observation Record assessments performed for up to 8 students
3. Parent/Teacher conference assessments for up to 100 students in the fall and up to 100 student the
spring, students ages 2-5
4. Initial consultation with School Director, or representative, to understand the schools’/centers’
needs and culture
5. Mention The Ollena Center as “in partnership” with your school in your printed materials and on
your school website
6. Participation at 2 events during the school year, such as, Open House, Parent’s Night, New Parent
Orientation (dates subject to availability)
7. Availability to school faculty as a resource for questions and concerns
8. Coordination of facilitating outside therapists visiting the school to conduct paid screenings, such
as, speech and language, vision, or occupational therapy (third party screening fees may apply)
9. Coordination of special services through the appropriate county: Babies Can’t Wait, Fulton/Cobb
etc County Schools, Services for Exceptional Children Preschool, including assisting with filing
paperwork, speaking with parents
Up to 5 individual observation and assessments for up to 5 specific students
At that time:
 Parent signs permission form for observation/assessment
 Classroom observation of their child
 Written report of observation findings given to parents
 Meeting with child’s parents and teacher at school to discuss findings and develop a plan going
School/Center Retainer Form | The Ollena Center LLC.


00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Page of 2