By signing this contract, you agree to the terms and conditions outlined in the Parent Handbook.
This contract will cover your child (ren)’s care for a term of one year from date of signature, unless
otherwise noted. Tuition rates will be locked in for the duration of your child (ren)’s care as long as
payments are kept current and up to date.
1.) This agreement is made between:
_____________________ _________________________ ( ) _________-______ ( )_______-_____
Mother’ s name Address Home phone Work phone
_____________________ _________________________ ( ) ________-________ ( )______-_______
Father’ s name Address Home phone Work phone
OR
_____________________ _________________________ ( )_______-________ ( ) ______-_____
Guardian’ s name Address Home phone Work phone
_____________________ _________________________ ( ) _______-_______ ( )_______-_____
Guardian’ s name Address Home phone Work phone
AND
DONNA MEULI 8518 SCOTT, WICHITA, KS 67210 ( 316 ) 688-1435
Care provider’ s name Address Phone
Provision of child care for:
________________________________________ _________________________
Child’ s name Birth date
Agreed Rate and Payment Policy:
Payment is due each Friday (or last day your child is expected in daycare) and is to be paid for the upcoming week.
(note: if child is absent due to illness or an unforeseen event, payment is due the morning your child returns). Child care will not
be rendered until payment has been made.
Your weekly agreed fee is ___________________________________ per week.
Your Scheduled arrival time will be _______________ and your pick up time is _______________.
If you fail to pick up your child by their scheduled time and I have not been notified and arrangements made, late fees will apply
as follows:
______________________________________________________________________________________________
ENROLLMENT FEE:
There is a one time enrollment fee of $25 (twenty five dollars ). If a 2nd child is enrolled, the enrollment fee for that child will be
$10. Enrollment fees are NON refundable.
Effective Dates:
This contract covers your child(ren)’s care from ________________ through ________________
(DATE) (DATE)
SRS Clients ______ initial here that you acknowledge that you are responsible for all services not covered by SRS. All SRS
payments are made by 6:00 PM by the 5th of each month unless other wise stated in this contract. Any payment not covered by
SRS may be paid weekly, bi-weekly or monthly, but in advance of services.
Signatures:
By signing below, you acknowledge receipt of the Parent Handbook, and agree to the terms outlined in this contract and the
Parent Handbook. All contracts are under a 30 day trial period , as noted below:
The first 30 days is a trial period. If during that first 30 days, either party finds child care is not working out, for any reason, a 2
week notice is not required by either party. After the initial 30 days, this contract may be terminated at any time, by either party,
with a 2 week written notice. Payment will continue to be due during this 2 week period, even if you choose not to bring your child
during that time frame.
Parent or guardian __________________________ Date _______________________________________
Child Care provider: _________________________________Date: _______________________________________
This contract will cover your child (ren)’s care for a term of one year from date of signature, unless
otherwise noted. Tuition rates will be locked in for the duration of your child (ren)’s care as long as
payments are kept current and up to date.
1.) This agreement is made between:
_____________________ _________________________ ( ) _________-______ ( )_______-_____
Mother’ s name Address Home phone Work phone
_____________________ _________________________ ( ) ________-________ ( )______-_______
Father’ s name Address Home phone Work phone
OR
_____________________ _________________________ ( )_______-________ ( ) ______-_____
Guardian’ s name Address Home phone Work phone
_____________________ _________________________ ( ) _______-_______ ( )_______-_____
Guardian’ s name Address Home phone Work phone
AND
DONNA MEULI 8518 SCOTT, WICHITA, KS 67210 ( 316 ) 688-1435
Care provider’ s name Address Phone
Provision of child care for:
________________________________________ _________________________
Child’ s name Birth date
Agreed Rate and Payment Policy:
Payment is due each Friday (or last day your child is expected in daycare) and is to be paid for the upcoming week.
(note: if child is absent due to illness or an unforeseen event, payment is due the morning your child returns). Child care will not
be rendered until payment has been made.
Your weekly agreed fee is ___________________________________ per week.
Your Scheduled arrival time will be _______________ and your pick up time is _______________.
If you fail to pick up your child by their scheduled time and I have not been notified and arrangements made, late fees will apply
as follows:
______________________________________________________________________________________________
ENROLLMENT FEE:
There is a one time enrollment fee of $25 (twenty five dollars ). If a 2nd child is enrolled, the enrollment fee for that child will be
$10. Enrollment fees are NON refundable.
Effective Dates:
This contract covers your child(ren)’s care from ________________ through ________________
(DATE) (DATE)
SRS Clients ______ initial here that you acknowledge that you are responsible for all services not covered by SRS. All SRS
payments are made by 6:00 PM by the 5th of each month unless other wise stated in this contract. Any payment not covered by
SRS may be paid weekly, bi-weekly or monthly, but in advance of services.
Signatures:
By signing below, you acknowledge receipt of the Parent Handbook, and agree to the terms outlined in this contract and the
Parent Handbook. All contracts are under a 30 day trial period , as noted below:
The first 30 days is a trial period. If during that first 30 days, either party finds child care is not working out, for any reason, a 2
week notice is not required by either party. After the initial 30 days, this contract may be terminated at any time, by either party,
with a 2 week written notice. Payment will continue to be due during this 2 week period, even if you choose not to bring your child
during that time frame.
Parent or guardian __________________________ Date _______________________________________
Child Care provider: _________________________________Date: _______________________________________
| CONTRACT NOTE: SRS requires clients to sign a contract yearly. I only require private pay clients to sign a contract at the time of enrollment |
 | |  | |  |
 | |  | |  | |  | |  | |  |
 | |  | |  |
 | |  | |  | |  | |  |
| AMAZING TOTS serving Wichita and Surrounding Areas since 1990 Home Daycare, Child Care with Preschool Curriculum |