• Infant Toddler Slots Non-Payment Contract

    The Learning Center
  •  /  /
    Pick a Date
  • Agreement: $ 0 per/week

    • Childcare may not exceed 10 hours per day.
    • Childcare may not exceed 10 hours per day.

    • Every child must be signed into their classroom by 9:30 am. Your child will not be accepted into the
    • Every child must be signed into their classroom by 9:30 am. Your child will not be accepted into the

    classroom after 9:30am unless you have a doctor’s note. The Director can make exceptions in classroom after 9:30am unless you have a doctor’s note. The Director can make exceptions in extreme cases. extreme cases.

    • Late Fees: $1.00 per every minute past 6:00 pm per child. After 6:15 the rate doubles to $2.00 per
    • Late Fees: $1.00 per every minute past 6:00 pm per child. After 6:15 the rate doubles to $2.00 per

    every minute. If it reaches 7:00 and we have been unable to contact anyone on your child’s every minute. If it reaches 7:00 and we have been unable to contact anyone on your child’s Emergency Card, we will need to contact the local police to help find the parent or a family Emergency Card, we will need to contact the local police to help find the parent or a family member. member.

    • After SIX (6) documented late pick-ups or arrivals, you will be dismissed from the program (two

  • 40 days in a year or your participation in the program may be redetermined. 40 days in a year or your participation in the program may be redetermined.

  • PROGRAM INCLUDES:

    • Developmentally appropriate and individualized child care.
    • Meals (***infant formula, juices and foods must be documented on Infant CACFP Enrollment Form as to

    whether the parent or center will provide these items We provide breakfast, lunch, and a PM snack.

  • Child’s Weekly Schedule Child’s Weekly Schedule

  • No more than 10 hours No more than 10 hours

  • Monday Monday

  • Tuesday Tuesday

  • Wednesday Wednesday

  • Thursday Thursday

  • Friday Friday

  • Notes Notes

  • Child’s Arrival Time Child’s Arrival Time in class in class Child’s Departure Child’s Departure Time from class Time from class

  • M M

  • M M

  • Your child’sschedule(above)determines how we schedule our teachers Your child’s schedule (above) determines how we schedule our teachers. If it changes, we need tknow ASAP If it changes, we need to know ASAP.

  • NR ONR

  • NDIN NDINS

  • 1. I agree to pay for child care services after 6:00pm, $1 per minute and doubles after 1. I agree to pay for child care services after 6:00pm, $1 per minute and doubles after

    6:15pm. If I am past due on my account on the Monday of the week of car, e child care 6:15pm. If I am past due on my account on the Monday of the week of car, e child care

    services will be interrupted for my child until payment is made. services will be interrupted for my child until payment is made.

  • 2. The Learning Center will be closed the following Holidays: 2. The Learning Center will be closed the following Holidays:

  • New Year’s Day New Year’s Day Martin Luther King Jr. Holiday Fourth of July Martin Luther King Jr. Holiday Fourth of July President’s HolidayLabor Day President’s HolidayLabor Day Columbus Day Columbus Day Additional closed days (such as in-service days) with one month’s notice from The Additional closed days (such as in-service days) with one month’s notice from The Learning Center. Learning Center.

  • Memorial Day Memorial Day

  • Thanksgiving Day & Day After Thanksgiving Day & Day After Christmas Eve Christmas Eve Christmas Day Christmas Day

  • 3. I understand that I must give two week’s written notice prior to withdrawing my child from 3. I understand that I must give two week’s written notice prior to withdrawing my child from

    4. I agree to give a one week written notice for a requested vacation week. 4. I agree to give a one week written notice for a requested vacation week. 5. I will provide a doctor’s note for more than 2 consecutive absences. 5. I will provide a doctor’s note for more than 2 consecutive absences. 6. Absences should not exceed 40 days in a year in collaboration with the CCW program. 6. Absences should not exceed 40 days in a year in collaboration with the CCW program.

  • every 6 months at a minimum. (DHS regulation 3270.124f) every 6 months at a minimum. (DHS regulation 3270.124f)

  • Parent/Guardian Signature Parent/Guardian Signature

  • Provider Signature Provider Signature

  • Clear
  • Clear
  • Date Date

  • Date Date

  •  /  /
    Pick a Date
  • Date of Child’s Admission: Date of Child’s Admission:

  •  /  /
    Pick a Date
  • Date of Withdraw:: Date of Withdraw

  •  /  /
    Pick a Date
  • Third Street Alliance for Women & Children Third Street Alliance for Women & Children 41 N. Third Street Easton, PA 18042 41 N. Third Street Easton, PA 18042 610-258-6271 610-258-6271 610-258-2112 fax 610-258-2112 fax www.thirdstreetalliance.org www.thirdstreetalliance.org

  •  
  • Should be Empty: