Service Agreement (Child Care)

for Your State

Designed for use between a child care provider and a parent. This form sets out the specific services to be provided on a one-time or ongoing basis, how much the provider will be paid and contact information in the event of an emergency.

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A Child Care Services Agreement is an agreement between a contractor/child care service provider and a parent. This type of service agreement is helpful because it provides the terms and conditions of the arrangement. This agreement will reaffirm that an employer/employee relationship is not created and can also be used for on-going services. A written Child Care Services Agreement will prove valuable in the event of disagreements or misunderstandings.

Among others, this form contains the following provisions:
  • Parties: This provision sets out the names of the parties to this agreement;
  • Services: This provision sets out the specific child care services to be performed;
  • Time of Completion: This provision sets out the date of commencement and the ending date;
  • Emergency Notification: This provision names who will be contacted in case of an emergency and the contact numbers;
  • Payment and Expenses: This provision sets out the payment arrangements and how any expenses will be reimbursed.

Protect Yourself and your Rights by using our professionally prepared up-to-date forms.

This attorney-prepared packet includes:
  1. Instructions & Checklist
  2. General Information
  3. Child Care Services Agreement
State Law Compliance: This form complies with the laws of all states
Number of Pages6
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#27988
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
 
 
Child Care Services Agreement

 

 
This Child Care Services Agreement (the “Agreement”) is dated as of ______________, 20____, by and between _________________________________________________ (“Contractor”) and _______________________________________ (“Parent”) (collectively the “Parties”).
 
The Parties agree as follows:
 
1.   SERVICES:  Contractor will perform the child care services described below (the “Services”) in the care of              (“Child”):                                                                                                                                                         . (attach an appendix if you require more space to detail services)
 
2.  TIME OF COMPLETION:  (mark the applicable provision)
 
   The Services shall be commenced on or before _________________, 20__, and shall conclude on ______________________, 20__.  The Services shall be performed between the hours of __________ a.m. and _________ p.m.  Time is of the essence.  (more appropriate for one-time service)
 
   The Services are ongoing, and shall be completed _______________ (e.g. weekly, bi-weekly, daily, etc.), commencing on ________________, 20__.   The Services shall be performed on       (insert day of the week)    between the hours of _____a.m. and _____p.m. (more appropriate for on-going service)
 
At the conclusion of any session or period during which the Contractor provides any Services, Child must be left directly in the custody of Parent, or of another adult explicitly approved in writing by Parent (“Approved Guardian”).  Until Child is returned to either Parent or Approved Guardian, Contractor shall be responsible for Childs welfare under the terms of this Agreement, regardless of any scheduled conclusion of the duration of service pursuant to this section.
 
3.   EMERGENCY NOTIFICATION:  In the event of an emergency, medical or otherwise, involving Child, Contractor will notify Parent at the following phone number(s):
 
   Parent:   (H)                          (W)            
   
   If Parent is unreachable at this number, then Contractor shall notify at least one of the Emergency Contacts listed on Schedule A, in the order there listed.
 
4.   EQUIPMENT:  (mark the applicable provision)
 
   Contractor shall provide the following equipment for use when performing the Services: _____________________________________________.  Parent will provide all other equipment necessary to perform the Services.
 
   When performing the Services, Parent will provide all necessary equipment, including a car if transportation of Child is necessary and explicitly approved by Parent.
 
   When performing the Services, Contractor will provide all necessary equipment, including a car if transportation of Child is necessary and explicitly approved by Parent.
 
5.  PAYMENT:  (mark the applicable provision)
 
   Parent shall pay Contractor for the Services the sum of  ______ Dollars ($_________).  (This is more appropriate for a one-time service)
 
   Parent shall pay Contractor for the Services the sum of _______ Dollars ($__________) per ___________.  ( e.g. week, month, session, etc.--this is more appropriate for ongoing services)
The payment(s) shall be paid in the following manner:                                                                                                         .
(Here you will need to describe how the payments will be made.  Will personal checks be acceptable?  Will you make the payments weekly, at the completion of the project, etc.?)
 
6.  OTHER EXPENSES:  Parent shall reimburse Contractor for the following expenses only:                                                                                                                 . (If none, write “none.)
 
Parent shall be responsible for providing only the following accommodations to Contractor in the course of the Contractors performance of the Services:                                                                                         . (If none, write “none.”)
 
7.  GENERAL PROVISIONS:
 
(a)  All work shall be completed in a safe and professional manner, and if applicable, in compliance with all building codes and other applicable laws.
 
(b)   To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform the work.
 
(c)   Contractor warrants that it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees.
(d)   In the event Parent shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of dispute.
 
(e)  Contractor shall not be liable for any delay due to circumstance beyond its control.
 
(f)  Contractor is an independent contractor and not an employee of Parent.
 
(g)   Any changes to this document must be signed by both Contractor and Parent.
(h)   This Agreement shall be construed in accordance with the laws of the state of               .        
(i)   Neither the Parent nor the Contractor may assign this Agreement without prior written consent from the non-assigning party.
(j)   The headings of the sections herein are for convenience only, and shall not affect the meaning of the provisions of this Agreement.
(k)   This Agreement constitutes the entire agreement between the Parent and the Contractor, and supersedes any prior understanding or representation of any kind preceding the date of this Agreement.  There are no other promises, conditions, understandings or other agreements, whether oral or written, relating to the subject matter of this Agreement.
 
IN WITNESS WHEREOF the Parties have executed this Agreement on the date first written above.
 
 
 
 
PARENT:                  CONTRACTOR:
 
_______________________________      ______________________________
Signature                  Signature
 
_______________________________      ______________________________
Name (please print)               Name (please print)
 
_______________________________      ______________________________
Title (if applicable)               Title (if applicable)
 
_______________________________      ______________________________
Date                     Date
Schedule A
 
EMERGENCY CONTACT LIST
 
Emergency Contact #1
Name:                
Phone:              
 
Emergency Contact #2
Name:                
Phone:              
 
Emergency Contact #3
Name:                
Phone:              
 

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