Child Care Agreement

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Child Care Agreement
Parent or Legal Guardian
Parent(s)' name(s): __________________________________________________
Address: ___________________________________________________________
__________________________________________________________________
Cell phone number: ________________________________
Work phone number: _______________________________
Other contact number(s): _____________________________________________
Child Care Provider
Child Care Provider’s name: ___________________________________________
Address: ___________________________________________________________
__________________________________________________________________
Cell phone number: _______________________________
Children
Parent(s) desire(s) to contract with Child Care Provider to provide child care for:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________ (names and birthdates of the children).
Location and Schedule of Care
(Location where care is to be given. Days and hours of child care)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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