CONTRACT SIGNATURE PAGE
- 1. Contract for Care I, _________________, give permission for my child, ____________________________________, To go on general in town outings (to the park/on walks/to the library every Wednesday/to the dollar store/out to eat) while in the care of Lady Bug’s Child Care and to have their picture taken on these outings. I release these pictures to Lady Bug’s Child Care, as they may be used for advertisements at a later date. Signed: _____________________________________________________ Date: __________________ I, _________________, give permission for my child, _____________________________, to participate in media use (TV watching, computer time, music) while in the care of Lady Bug’s Child Care Center. Signed: ____________________________________________________ Date: __________________ I, ___________________, give permission for my child, __________________________________, to ride in a vehicle driven by Lady Bug’s Child Care Center staff. Signed: _____________________________________________________ Date: __________________ I, ________________________________________, have read the information provided me by Lady Bug’s Child Care Center, and agree to all terms and conditions therein, and agree to the weekly full time rate of (circle one): $175 (infants) or $150 (3 years and up), $135 for 3 or older before 8-30-2013, 30$ per day/ $135 a week for school aged, or $30 a day (charged on a weekly basis) for part time PLUS $35 enrollment fee (plus $5 per year thereafter for medications)and any field trip fees) for the enrollment of my child, ________________________________________. Signed: ___________________________________________________________Date:______________ I, ______________________________________________, agree to give prompt payment of my childcare bill for my enrolled child, ______________________________________________ on: (circle one): Monday / Tuesday / Wednesday / Thursday / Friday This Payment will be submitted (check one): Weekly Bi-Monthly on the _______ and the _______ of the month, Bi-Weekly (every other week) beginning on __________, 20__.
- 2. Monthly on the _____________ of the month. I acknowledge that I understand if payment is turned in other than on the agreed-to schedule, a late fee of $25 will be added to my bill. This late fee of $25 will be assessed for EACH WEEK when a late payment is given, i.e.—for each increment of $150 (3 and up), $175 (infants), $30 per day/$135 per week for school aged, or $30 per day for part time that is paid late, $25 will be charged. Signed: __________________________________________________________Date:______________ Ple ase return this page to Lady Bug’s and make a copy for your records. You may retain the pricing/services pages for your future reference.