Extended Daycare Contract

Extended Daycare Contract
EXTENDED DAYCARE

OUR LADY OF PERPETUAL HELP SCHOOL

124 Columbus, Bakersfield, CA 93305 (661) 327-7741 Ext. 105

Becky Cheek, Director

bdimario@olph1.org

For the convenience of our families, childcare is available all school days from 6:30 AM

to 7:30 AM and 2:30 PM to 5:30 PM.

Based on the philosophy of the school, Our Lady of Perpetual Help Extended Day Care

is structured to provide a safe and caring environment for your child. The program

includes snack time, quiet time for homework, organized arts and crafts, and play time.
Annual Registration Fee per family $50.00

Monthly Rates

One Child $250.00

Two Children $350.00

Three Children $450.00

Four or more Children $550.00

Drop-in Rate (students must be registered for Day Care) $20.00 per hour

*A late pick-up fee of $20.00 per child is charged for any portion of the first fifteen minutes after 5:30 P.M. and $5 for each additional minute.

PAYMENTS

All payments are due on the first of the month. A late fee of $20.00 will be added to

payments made after the 15th of the month. There is a $30.00 fee for returned

payments.

OPERATIONS

1. Children will be released only to those persons authorized in the Extended

Daycare contract. Exceptions will require prior notice to the director and must be

verified by written consent of the parent/ guardian.

2. Parents will advise the director in writing of any change in address, phone

number, emergency, or pick up information.

3. The director will be advised of a student’s participation in after school activities.

4. Infraction reports will be issued to any student who disregards rules and

procedures. If a student receives 3 infraction notices, a conference will be

scheduled with parents.

5. Questions and concerns are to be directed to the Director of Extended Day Care.

Please fill out the contract.

Updated 8/25
Guardian's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Name*

First NameLast Name
Cell Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
E-mail*
Parent/Guardian Name

First NameLast Name
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
E-mail
example@example.com

Students that will be in daycare:

	First Name	Last Name	Grade	Allergies
Student 1
Student 2
Student 3
Student 4

Before or After School Daycare?

Before School DaycareAfter School Daycare
Hours of Extended Daycare Needed
Beginning Time
Pick Up Time
Days Needed
1.    Other Approved Pickup:   First Name   Last Name
Relationship to student:
Phone:   Area Code   Phone Number
2.    Other Approved Pickup:   First Name   Last Name
Relationship to student:
Phone:   Area Code   Phone Number
Family Registration Fee: $50.00
• Payments may be made by check or money order payable to OLPH Extended Day Care.

Basic Fee:
I First Name* Last Name* do authorize Our Lady of Perpetual
Help Extended Day Care to release my child/ children to the people listed below. I have
checked with these people, and they have agreed to accept responsibility for my child/
children in the event that I am unable to pick them up. In the event that they will pick up
my child/ children, I will be sure to call the daycare office, leave a message, or send a
note to the office.
Signature*

Clear
Comments
OLPH Student School Daycare Behavior Contract

Student will fill this out
OLPH School Daycare Behavior Contract

Expectations

1. Students must follow the daycare teachers’ instructions promptly and respectfully. 2.

Students will keep hands and feet to themselves.

3. Students will use kind language towards themselves and others.

4. Students will only walk in the cafeteria and not tip their chairs forwards or back. 5. Students

will use school property, including board games, blocks etc., correctly without causing

unnecessary damage.

6. Students will be considerate of other students by taking turns, not interrupt board games

being played, or purposefully destroy creations made by other students.

7. Students must clean up all messes before moving on to a new activity.

8. All playground school rules must be followed.

9. Cellphones must be checked in and may not be used until picked up from daycare.

Discipline Policy

1. Warning

2. Time out for 1-minute times their age (7 years old equals 7 minutes time out)

3. Removal from activity and Parent contacted

4. Student Visits Principal’s Office

5. Multiple violations of the rules over a period of time may result in removal from the daycare

program. This decision will be made at the discretion of the administration.
I student(s) names* understand that if I do not follow the expectations listed above, I will earn one of the consequences.
Students signature*

Clear
IParent/guardian* understand that if my child does not adhere to the expectations listed above, he/she will earn one of the consequences.
Parent/Guardian signature*

Clear
Should be Empty:

Extended Daycare Contract

Hours of Extended Daycare Needed

OLPH Student School Daycare Behavior Contract