Child Care Agreement Form Childrens Campus
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1CHILDREN’S CAMPUS
CHILD CARE AGREEMENT
Chapel Hill ________ Southpoint ________
Greenville _________
Children’s Campus agrees to provide preschool / daycare for _______________________________________
beginning on ____________________________________ .
PERSONAL INFORMATION:
Child’s Name
Birthdate:
Address
Zip
Home Telephone
Mother’s Name
Work Telephone:
Employer _________________________________________________ Email: ____________________________
Father’s Name
Work Telephone:
Employer _________________________________________________ Email: ____________________________
per month, payable to Children’s
REGULAR MONTHLY FEE: The charge for services will be
Campus between the first and fifth day of the month. Tuition payments remain constant each month regardless of vacation days,
days missed due to illness or inclement weather.
ENROLLMENT FEE: Parents will pay a one-time non-refundable charge of $________upon submitting an enrollment application.
LUNCHES / SNACKS: A nutritious lunch and two snacks will be prepared daily. (Parents will provide supplies for snacks only.)
MATERIALS: All equipment, toys and materials (such as paper, crayons, paint, etc.) will be included in the monthly fee.
Children’s Campus provides use of a 2-inch sleeping mat, sheet, cover, weekly laundry, and use of two keys for electronic access to
the building. A $10.00 fee is required for use of an additional key or replacement.
DIAPERS: All diapers, wipes, and a change of clothes will be provided by the parents.
ILLNESS: Should a child become ill while in care, the parents will be notified immediately, and the child should be picked up right
away. A sick child should remain at home for the comfort of the child as well as concern for the group. Illnesses include fever,
vomiting, diarrhea, etc. A child must be free of illness for 24 hours before returning to school.
DAILY SCHEDULE: Regular hours are from _______ a.m. to ______ p.m. Late fees apply after closing time.
DISENROLLMENT: Should a child need to disenroll or not attend on the scheduled start date above for any reason, a one-month
advance notification in writing is required. Tuition is payable throughout the one-month notification period beginning on
__________________ whether or not the child attends.
HOLIDAY / VACATION SCHEDULE: A schedule of regular holidays and vacations will be determined and distributed in
September of each year.
Date:
______
Signed:
____________
_
Signed: __________
_____________
Director Signature
Parent Signature
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