Sample Child Care Agreement Form

Child care fees will be paid by: cash ____________ check/M.O. ______________

Notice: A two-week written notice is required for any of the following:

1. Termination of the agreement by either party.

2. Increases in child care fees.

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Favorite toys, playthings, or play interests: __________________________________

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Favorite foods: _______________________________________________________

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Allergies, and/or food restrictions:_________________________________________

Please note: To reduce the risk of Sudden Infant Death Syndrome, your baby will

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