Provider - Parent/Guardian Child Care Contract

Welcome! Thank you for enrolling your child(ren) in Jen's Little One's LLC family childcare.
The following contract is made between Jennifer Langer AND:
Parents/Guardians:
Name:
Address:
Phone home/cell:
Employers name/address:
Name:
Address:
Phone home/cell:
Employers name/address:
Child(ren) covered by this contract:
1. Name:
2. Name:
3. Name:
4. Name:

Date of Birth:
Date of Birth:
Date of Birth:
Date of Birth:

Care shall normally be provided between _________ am/pm and _______ am/pm M, T, W, Th, F.
Circle days

A weekly payment of ________ is due on Fridays for the following week's care.
Additional charges are: ____________________________________________
By signing this contract, parent(s)/guardian(s) indicate that they have read the provider's policies
and agree to follow them and any future policies. The provider will give a copy of the updated policies
to the parent(s)/guardian(s) 2 weeks before they go into effect.
Failure to enforce one or more terms of this contract does not waive the right to enforce any other
terms of this contract.

Parent/Legal Guardian's Signature

Date

Parent/Legal Guardian's Signature

Date

Parent/Legal Guardian's Signature

Date