CARELOT CHILDREN'S CENTER

PARENT/GUARDIAN AGREEMENT

  1. I/We will pay the total weekly tuition of $ ______. I understand that this amount is due regardless of attendance. Lack of attendance for any reason does not change the tuition due.
  1. I/We will be required to pay a non-refundable registration fee of $50.00 and one-week tuition pre-payment at the time of enrollment. I understand that a second week’s tuition pre-payment will be required within the first month of enrollment. An annual activity fee of $50.00 per family will be paid on September 1 of each year.
  1. I/We will pay the weekly tuition fee by FRIDAY the week before care is given. Payments made later than close of business on Friday for the next week’s tuition will be automatically charged a $15.00 late fee. Late fees will be charged weekly until the account is paid in full. Late fees will be billed regardless of whether the child (ren) attends the center that day.
  1. I understand that pre-payment must be made for any week my child(ren) will be absent from the center for vacation, illness or any other reason. A late fee of $15.00 will be charged for payment not received. Any childcare space not paid for by Friday at closing time of the current week, is subject to withdrawal until payment is received.
  1. I/We will pay the service charge of $25.00 for all returned checks and understand that if 3 checks are returned I/we will be required to make cash payments only.
  1. I agree to pay a surcharge for any time my child is in attendance for more than 9 ½ hours above and beyond my contracted hours. This charge will be billed using the set hourly rate.
  1. I/We understand that payment must be paid in full when discontinuing services for any reason. I further agree to keep an accurate credit card authorization form on file that states that upon withdrawal the entire account balance will be applied to the card if payment is not received in full by the last day care is provided.
  1. I/We understand that my two-week tuition pre-payment is not refundable and will only be used to pay for the tuition due for the last two weeks of enrollment when I have provided the center with a written two-week notice. If a two week notice is not provided I understand that the tuition will still be billed for two additional weeks from the time that the center is made aware in writing of my child’s last day. I will be responsible for payment of that tuition. I understand that I can use my tuition pre-payment to cover this tuition.
  1. I/We have received & read a copy of the Family Handbook & agree to abide by all the policies set forth by Carelot Children’s Center.
  1. I /We have received and read a copy of the health policies and the Discipline Policies have been discussed with me/us and I/we agree to abide by all policies and regulations set forth by The State of Connecticut Department of Health and Carelot Children’s Center.
  1. I/We agree to hold Carelot and Staff harmless as to all liability claims; courses of action, including attorney fees and any medical expenses resulting from injury caused by care (provided the center is in accordance with state and federal regulations.)

*Please complete # 12, 13, 14, and 16*

  1. I/We understand that I/we will receive an end of the year receipt for tax purposes unless otherwise specified.

_____ YES, I would like receipts monthly for my childcare payments.

  1. I/We understand that photographs of the children participating in the programs may be taken from time to time and may appear in classroom projects, center activities and publicity materials for Carelot Children’s Center.

______YES, Carelot may take pictures of my child(ren) ______NO, Carelot may not take pictures of my child(ren)

  1. My child(ren)’s hours will be ______am to ______pm on the following days: M T W TH F I understand that I must notify the office a minimum of one week in advance of any schedule changes that will occur. (A written one week notice is required for such changes)
  1. I/We agree to hold a formal parent/teacher conference bi-annually with my child’s teachers. Best time is: Day______Time:______.
  1. Child’s SS# ______Mother/Guardian’s SS # ______Father/Guardian’s SS# ______

*I/We have read and understand all the policies stated above and agree to abide by these policies*

______

Parent/Guardian SignatureDateParent/Guardian Signature

Child(ren)’s Name(s): ______

Center Representative Signature: ______Title: ______Date: ___/___/___

Parent/Guardian Agreement-EN 12/31/2013