Regular Childcare Agreement Form

New Family Recurring Childcare Agreement

Thank you for considering me, Nikki Hartman, for your childcare needs! I am excited to work with your family to provide safe, reliable, and engaging care for your child(ren). This form is intended for families who expect to require my services on a regular, long-term basis, typically for several months. It outlines the details and expectations for the care provided. Please take a moment to fill out all the required fields and review the terms before signing.
Primary Parent/Guardian

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
Secondary Parent/Guardian

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Child 1:

Date of BirthFirst NameLast Name
Child 2:

Date of BirthFirst NameLast Name
Child 3:

Date of BirthFirst NameLast Name
This agreement will be effective from Date* to Date*, unless terminated earlier in accordance with the terms outlined below.
Please provide the days and hours you anticipate needing childcare services.
(e.g., Mondays and Wednesdays, 9:00 AM – 2:00 PM; occasional evenings as needed)
Additional Details About Your Family and Child:
Please share anything you'd like me to know about your family and child to provide the best care possible. (e.g., preferred routines, parenting approaches, comfort items, child’s favorite activities, strengths, challenges, or any strategies that work well for soothing or engaging your child)
Health and Medical Information:
(e.g. allergies, medical conditions, medications, special needs, etc).
Terms and Conditions
- Services Provided: Nikki agrees to provide regularly scheduled childcare for the above-named child(ren) at the parent/guardian's residence.
- Scheduling:
  - The parent/guardian will confirm the schedule for recurring childcare no later than the 14th of the month prior to the services being provided (e.g., confirmation by February 14th for childcare needed in March).
  - Scheduling of additional date night childcare services will be done via Calendly, with a minimum of one weeks' notice.
  - Any changes to the agreed schedule must be communicated as soon as possible and are subject to the cancellation terms outlined below.
- Rates and Payments:
  - The payment rate is $25 per hour for one child or $30 per hour for one infant (under 12 months). Each additional child is $5 per hour, or $10 per hour for each additional infant.
  - Payment is due at the end of each childcare session unless otherwise agreed upon.
  - Payment can be made via Cash, Check, or Electronic Transfer (e.g. Venmo, Zelle, PayPal, CashApp).
- Cancellations:
  - Cancellations may be made at least 48 hours in advance, free of charge.
  - A cancellation fee equal to one hour of childcare ($25 for one child, $30 for two children, etc.) will be charged for any cancellations made within 48 hours of the scheduled service.
- Contract Duration: This agreement will remain in effect for the duration specified above. At the end of the agreed period, the contract may be renewed or revised by mutual agreement.
- Termination: Either party may terminate this agreement with 2 weeks' written notice.
- Duties and Responsibilities:
  - Nikki will ensure the safety and well-being of the child(ren) at all times.
  - Nikki will engage in age-appropriate activities with the child(ren).
  - Nikki will provide meals and snacks as agreed upon with the parent/guardian.
  - Nikki will follow the parent/guardian's instructions for bedtime or rest times, including routines and schedules provided in advance.
  - Any additional duties or responsibilities must be discussed and agreed upon prior to the start of services.
- Health and Safety:
  - The parent/guardian will inform Nikki of any medical conditions, allergies, or special needs of the child(ren).
  - Nikki will administer medication only with consent from the parent/guardian.
- Liability: Nikki will take all reasonable precautions to ensure the safety and well-being of the child(ren). However, the childcare provider is not liable for any injuries, accidents, or damages that may occur during the provision of childcare services, except in cases of gross negligence or misconduct. (Basically... kids will be kids, and we all know that sometimes bumps, bruises, and broken toys are just part of the adventure. Nikki will always do their best to keep things safe, but accidents can happen!)
- Signatures: By signing below, you agree to the terms and conditions outlined in this contract.
Parent/Guardian
Parent/Guardian
Should be Empty:

New Family Recurring Childcare Agreement