Firefly Child Care Application Form Page 2
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1
2Child Care/Preschool Agreement
I understand and agree to the following:
•
My child, _____________________________________________, will attend Firefly Children’s Center on:
Monday
From: __________To: ___________
Tuesday
From: __________To: ___________
Wednesday From: __________To: ___________
Thursday
From: __________To: ___________
Friday
From: __________To: ___________
•
These days are Contracted (you pay whether you attend or not) and my tuition rate is $________ per month.
•
To request a change to your current schedule, you must turn in a Schedule Change Request form.
•
The information on this form is correct and will enroll my child in Firefly Children’s Center.
•
I have received a copy of the Parent handbook via email or hard copy, and I agree to abide by all terms in the
Parent Handbook.
•
st
th
Tuition is due on the 1st of the month OR the 1
and the 15
of the month. If my payments are not made on time,
I understand that my child’s place will become available to children on the waiting list.
•
I agree to pay in advance: _______MONTHLY or ________BI-WEEKLY (1st and 15th of the month).
•
st
The annual registration fee of $100 for one child or $150 for multiple children is due on the 1
of July, 2018.
•
th
th
There is a late fee of $25 that will be assessed on the 5
and/or the 15
of the month for delinquent payments.
•
I will be charged $1.00 per minute that my child is in attendance past their scheduled time.
•
st
I am required to provide one-month notice of termination of enrollment that will take effect on the following 1
of
the month.
•
th
This contract will expire on the 30
of September, 2018.
Parent/Guardian Signature____________________________________________
Date: ____________________
Parent/Guardian Signature____________________________________________
Date: ____________________
Best Beginnings Applicants Only - Please Initial
________ I understand I am responsible for charges that the Best Beginnings scholarship does not cover.
________ I understand I am responsible to file the proper paperwork with the Nurturing Center on time to receive the
benefits of the Best Beginnings scholarship. If I do not and I accrue an unpaid balance, I am responsible for that bill.
________ I understand I have been approved through the Nurturing Center for a certain number of hours per week and if
my child is here for over the set amount, I am responsible for the additional fees. I am responsible for understanding and
knowing the approved number of hours.
_______ I understand that if my child misses a day that they are scheduled, I am financially responsible for days that my
child does not attend. If I have available CE days through the scholarship available, Firefly will bill those first.
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