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Blank Babysitting For Parents PDF Form

The Babysitting For Parents form is a vital document that establishes a clear agreement between parents and childcare providers. It outlines essential details such as care hours, payment terms, and policies, ensuring that both parties have a mutual understanding before care begins. By completing this form, parents can secure a safe and structured environment for their children while fostering open communication with their provider.

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Article Guide

When it comes to ensuring quality care for your child, the Babysitting For Parents form serves as a vital tool for both parents and childcare providers. This form outlines the essential elements of a childcare contract, establishing a clear understanding of expectations and responsibilities. Parents will find details regarding the provider's certification, which allows for the care of up to three children under the age of seven. Additionally, the form includes a checklist summarizing certification regulations, ensuring that parents are informed about the standards of care. A key component of the contract is the payment structure, which specifies fees for various services, including hourly, daily, and weekly rates. Parents are encouraged to discuss these fees and any additional costs, such as late fees or holiday rates, before signing. The form also covers important policies related to vacations, absences, and termination of care, ensuring that both parties are on the same page. By signing the contract, parents and providers agree to adhere to the established policies, fostering a cooperative and transparent childcare environment.

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PROVIDER-PARENT/GUARDIAN

CHILD CARE CONTRACT

Welcome! I’m glad you have decided to enroll your child in my family daycare. (You are welcome to contact

4-C certification, who I am certified through (271-9181) to verify my status of certification or should you have any concerns) As a certified provider, I can care for up to 3 children in addition to my own, under the age of 7 years, at any one time. Along with enrollment materials, parents will receive a copy of a parent checklist which summarizes certification regulations. The following contract is to be completed and signed by the parent/guardian before care begins. Please read over all policies and fees before signing the contract. We must discuss fees and what services are covered before care begins. You will receive a copy of the signed contract. If you have any questions regarding fees, policies or practices, please feel free to discuss them with me.

This Contract is Between:

Provider’s Name

Address

Phone Number

-And-

Mother/Legal Guardian

Name:______________________ Address:____________________________Phone:_________________

Employer:___________________ Address: ____________________________Phone:________________

Father/Legal Guardian

Name:______________________ Address:_____________________________Phone:________________

Employer:___________________ Address: ____________________________ Phone:________________

	For the Care of:
1.	Child’s Name:____________________________	3.	Child’s Name:___________________________
	Date of Birth:____________________________		Date of Birth:___________________________
2.	Child’s Name:____________________________	4.	Child’s Name:__________________________
	Date of Birth:____________________________		Date of Birth:___________________________

I may amend the contract/policies by giving the parent/guardians a copy of the new or changed policies at least _______weeks before any changes go into effect.

PAYMENT AND FEES:

Hours of Care Needed: (Be sure to specify if AM or PM)

TIMES	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Drop Off
Pick Up

Payment for Care Provided: (please circle one)

1st Child: $_______________/per week $ ______________/per day $ _____________/per hour

2nd Child: $_______________/per week $ ______________/per day $ _____________/per hour

3rd Child: $_______________/per week $ ______________/per day $ _____________/per hour

Payments are due:________________________

Additional Fees/Late Fees: (If applicable, please check one, indicate $ amount)

Parent’s will be charged additional fees for early drop off or late pick up. Fees are as follows: $_________/per minute

$_________/per every ____minute increment $_________/per ½ hour.

Parent’s will not be charged a late fee for early drop off or late pick up.

Holidays: (please check all holiday’s that childcare will be closed)

Not Applicable	Martin Luther King, Jr., Birthday
Memorial Day	Independence Day (4th of July)
Labor Day	Thanksgiving Day
Christmas Day	New Years Day
Other:________________________________

(check all statements that apply)

Holidays provider does not provide care will be paid at a rate of:_______________________.

Holidays provider does not provide care will not be paid by parent.

Holidays parent does not bring child to care and childcare is open will be paid at a rate of:______________________.

Holidays parent does not bring child to care and childcare is open will not be paid.

Payments made by other sources (W-2):

The Dane County subsidy program (W-2) will pay certified providers for days of attendance only. They do not pay providers for sick days, vacation days or days the child is not authorized for. Therefore, it is my policy:

Parent’s will be responsible for payment on days the county/city does not make payment and the child does not attend childcare. Payment will be paid at a rate of: ___________________________________.

Parent’s will not be responsible for payment on days the county/city does not make payment and the child is not in care.

Vacations: (list any vacations that are agreed upon per year and if payment is expected)

Vacations for provider will be paid by parent, at a rate of:___________________________________.

Vacations provider will take:____________________________________________________.

Vacations for provider will not be paid.

Vacations for parents will be paid by the parent at a rate of:__________________________________.

Vacations parent will take:______________________________________________________.

Vacations for parents will not be paid.

Absences:

Absence or illness of a child will be paid by the parent at a rate of:_____________________________.

Absence or illness of a child will not be paid.

If I (the provider) close my daycare due to my illness or the illness of a family member, the rate of pay will remain unchanged.

If I (the provider) close my daycare due to my illness or the illness of a family member, payment is not required.

Additional Requirements: (please list any additional items the parent(s) are expected to provide-items may include, diapers, lotions, sun screen, blankets, pillows, change of clothing etc.)

Parent is not responsible for additional requirements.

Parent is responsible for the following additional requirements:

___________________________________________________________________________

Termination: (Please refer to policies section under TERMINATION for explanation of “termination period”)

Termination of care for a child(ren) by the provider will be paid by parent during the termination period.

Termination of care for a child(ren) by the provider will not be paid for the termination period.

Termination of care for a child(ren) by the parent will be paid for the termination period.

Termination of care for a child(ren) by the parent will not be paid for the termination period.

By signing this contract, parents/guardians and provider agree to abide by the written policies as

stated above.

________________________	_______________________	__________
Provider’s Name (Print)	Provider’s Signature	Date
________________________	________________________	_________
Parent’s Name (Print)	Parent’s signature	Date
________________________	_______________________	_________
Parent’s Name (Print)	Parent’s signature	Date

Attention Parent(s): Certification requires all parents receive a signed copy of the

contract. Please be sure to obtain a copy of this contract.

may be submitted within 30 days after enrollment

POLICIES AND PROCEDURES AGREEMENT:

Admission:

My family childcare will provide care for children between the ages of ______weeks/months/years (circle

one) through ______years. My operating hours are between _____am/pm and ____am/pm. Please be aware

that although I specify my hours of operation, we will contract for specific hours for your child and you may be charged additional fees if you pick up or drop off your child beyond our contracted hours (see contract). I will never refuse to enroll a child on the basis of race, color, sex, sexual orientation, creed or handicap.

Enrollment Procedures:

Parents must meet with the me (the provider) in order to discuss their child’s specific needs and to review the program’s policies. The following forms are required to be on file for each child per certification standards:

Parent information and checklist (to be completed by provider and parent together) Enrollment and emergency medical consent form

Authorization to administer medication form Authorization to transport (vehicle or walking field trips) Immunization Record

Health Report (needs to be completed by physician) may be submitted within 90 days after enrollment Information for children under 2

Completed and signed contract. Policies and Procedures reviewed.

All families will be enrolled on a trial period. The trial period of _________________ is to determine the

right placement for your child. During this trial period either party (parent or provider) has the right to terminate care without notice. Your trial period will end on ____________________. Please make a note of

this day. After the trial period, termination notice must be given. The parent will be responsible for payment for days the child attended during the trial period.

Termination:

This contract may be terminated by either the parent/guardian or provider by giving a ______week written

notice in advance of the ending date. Payment by parent/guardian may be due for the notice period, whether or not the child is brought to the provider for care (please refer to the contract). Reasons for a provider termination may include but are not limited to: failure of parents/guardians to pay, failure of parent/guardian to complete required forms, lack of parent cooperation, inability of provider to meet the child’s needs, the inability of the child to adjust to childcare or the failure of parent to abide by contract/policies. In some cases, immediate termination may be necessary. Some reasons for immediate termination may include, but are not limited to; failure for a parent to pay required fees, health or safety reasons of the children in care. Communication between parents and the provider is very important. Termination due to any of these reasons would be a last resort of parents/guardian and provider being unable to resolve the issue together.

Liability:

This family childcare is covered by liability insurance both for my premises and for my operations. Name of insurance company:_______________________________________.

This family childcare is not covered by liability insurance.

This family childcare has vehicle insurance to cover transporation of daycare children.

This family childcare does not have vehicle insurance to cover transportation of daycare children.

Illness Policy:

It is not always easy to decide if a child should remain at home due to an illness. Children who come to childcare are expected, with few exceptions, to participate fully in child care activities. Children who are exhibiting the following symptoms will be sent home or should remain home:

Fever of 100 degrees or higher: this signals an illness may make a child uncomfortable and unable to to function well in childcare.

Vomiting, diarrhea or severe nausea: these are symptoms that require a child to remain at home until a normal diet is tolerated the night before and the next morning.

Rashes: rashes or patches of broken, itchy skin should be examined by a doctor if it appears to be spreading or not improving.

A child who is too ill to remain in care will be isolated from the other children. The parent will be notified of their child’s illness and will be required to pick up their child within______minutes.

Children with communicable diseases shall not attend childcare. Examples of communicable diseases include but are not limited to:

Chicken Pox	Influenza	Pink Eye	Mumps	Strept Throat
Impetigo	Lice	Measles	Whooping Cough	Scarlet Fever

It is important that you notify the provider if any medication has been administered to your child within the last 24 hours. Should there be a medical emergency it is crucial to report whether or not the child is on medication.

All prescriptive and non-prescriptive medications (including diaper rash creams and sunscreens) that need to be administered at childcare by the provider requires that the parent complete an Authorization to Administer Medication Form.

Health Procedures:

Each child 5 years of age or younger and is not enrolled in school, is required to have a physical examination report on file within 90 days of the first day of attendance. Children age 2 years and older must submit an updated Health Report Form every 2 years. Children under 2 must submit an updated Health Report Form every 6 months. An immunization record for all children must be completed by the parent within 30 days of the first day of attendance.

Sudden Infant Death Syndrome (SIDS):

According to certification standards, all providers, employees, substitutes and volunteers of a provider who provide care and supervision for children under one year of age shall receive training in the most current medically accepted methods of preventing sudden infant death syndrome (SIDS) before the date on which the provider is certified or the employment or volunteer work commences.

In addition to myself, my substitutes/volunteers have completed an approved SIDS training. I completed the training on:________________. This can be verified with the 4-C office at 271-9181.

I have not completed an approved SIDS training and can not care for children under 1 year of age until an approved SIDS training has been completed.

In addition, it is the policy of this childcare and a certification standard that all infants under 1 year of age must be placed on their backs to sleep to reduce the risk of SIDS, unless otherwise instructed/directed in writing by the child’s physician. A safe crib or playpen shall be available for each child under 1 year of age to use for napping.

Discipline:

In accordance with Wisconsin rules for Family Daycare Certification punishment that is humiliating or frightening to a child such as hitting, spanking, verbal or sexual abuse, withholding or forcing food, binding or tying to restrict movement, enclosing a child in a confined space such as closet, basement, locked room, box (or similar cubicle) any punishment for lapses in toliet training and any forms of physicial punishment are prohibited. Time-outs can not exceed 5 minutes. These forms of punishment will never be used, even at a parent’s request.

My childcare will use the following methods to guide the child rather than discipline:_____________

______________________________________________________________________________

Substitute Care Arrangement:

A substitute provider is considered someone who provides care on a regular weekly basis and must meet the same qualifications as a certified provider (training, continuing education, SIDS and background checks). All substitute providers must be approved through 4-C.

Not Applicable. Parents will be required to provide their own childcare if I (the provider) am unable to do so due to illness, closings or scheduled vacations.

Substitute Care Provider(s) may be the following individual(s):

Substitute #1 Full Name:___________________________Phone:____________________

Substitute #2 Full Name:___________________________Phone:____________________

The provider has also identified an emergency backup person that may be called for assistance in the event of an emergency : ___________________________________________________________.

Additional Policies Include:

______________________________________________________________________________

By signing this agreement, you are agreeing you have read, understand and agree to adhere to these

Policies and Procedures

________________________	_______________________	__________
Provider’s Name (Print)	Provider’s Signature	Date
________________________	________________________	_________
Parent’s Name (Print)	Parent’s signature	Date
________________________	_______________________	_________
Parent’s Name (Print)	Parent’s signature	Date

Attention Parent(s): Certification requires all parents receive a signed copy of the

contract. Please be sure to obtain a copy of this contract.

SAMPLE TERMINATION NOTICE

PARENT TERMINATION

Notice given by: ______________________________on __________________

Parent/Guardian’s NameDate

to terminate care for:___________________________effective:__________________.

Child/Children’s nameDate

_______________________________________	_____________
Parent’s Signature	Date

PROVIDER TERMINATION

Notice given by: ______________________________on ___________________

Provider’s NameDate

to terminate care for: _____________________________effective: ________________. Payment

Child/Children’s Name(s)Date

of __________________ will be due. If parent wishes not to have their child attend childcare after

termination notice has been given:

Payment will be required from last date of attendance to termination date.

Payment will not be required.

__________________________________	____________
Provider’s Signature	Date

➤ PDF File

Form Specifications

Fact Name	Description
Provider Certification	The provider is certified and can care for up to three children under the age of seven, in addition to their own children.
Contract Requirement	Parents must complete and sign the contract before childcare begins. This includes discussing fees and services covered.
Payment Structure	Payment for care is due weekly, daily, or hourly, depending on the agreement made in the contract.
Termination Notice	Either party must provide a written notice of termination at least one week in advance, as outlined in the contract.
Governing Law	This form is governed by state-specific childcare regulations, which vary by state. For example, in Wisconsin, the governing law includes the Wisconsin Administrative Code, Chapter DCF 250.

Babysitting For Parents: Usage Guidelines

Filling out the Babysitting For Parents form is an important step in securing childcare for your child. Please follow the steps below to ensure that all necessary information is provided accurately. This will help facilitate a smooth process for both you and the provider.

Provider Information: Fill in the provider’s name, address, and phone number at the top of the form.
Parent/Guardian Information: Provide the names, addresses, and phone numbers for both the mother/legal guardian and father/legal guardian.
Child Information: List the names and dates of birth for each child who will be in care. You can include up to four children.
Contract Amendments: Indicate how many weeks’ notice the provider must give before any changes to the contract go into effect.
Hours of Care Needed: Specify the drop-off and pick-up times for each day of the week.
Payment and Fees: Circle the payment amounts for each child based on the chosen payment structure (weekly, daily, or hourly).
Additional Fees: Check the appropriate box regarding additional fees for early drop-off or late pick-up, and indicate the amounts.
Holidays: Check all holidays when childcare will be closed, and fill in the payment rates for those days if applicable.
Vacations: List any agreed-upon vacations for both the provider and the parent, along with payment expectations.
Absences: Specify the payment terms for child absences due to illness or other reasons.
Additional Requirements: List any items that the parent is expected to provide, such as diapers or clothing.
Termination Policy: Review the termination policies and check the appropriate boxes regarding payment during the termination period.
Signatures: Both parents and the provider should sign and date the contract to confirm agreement to the terms.

Once you have completed the form, make sure to keep a copy for your records. This will ensure that both you and the provider are on the same page regarding the care agreement.

Your Questions, Answered

What is the purpose of the Babysitting For Parents form?

The Babysitting For Parents form serves as a contract between the childcare provider and the parents or guardians. It outlines the terms of care, including fees, hours of operation, and the responsibilities of both parties. This document ensures that both the provider and the parents have a clear understanding of the care arrangement before it begins, helping to prevent misunderstandings in the future.

What information is required from parents in the form?

Parents must provide detailed information about themselves, including names, addresses, and contact numbers. Additionally, they need to list the names and birthdates of their children who will be enrolled in the childcare. This information is essential for the provider to maintain accurate records and ensure the safety and well-being of each child in their care.

Are there specific policies regarding payment and fees?

Yes, the form includes detailed information about payment structures. Parents must specify the payment amount for each child based on whether they will be charged weekly, daily, or hourly. The form also addresses additional fees for early drop-offs or late pick-ups, as well as payment expectations during holidays or absences. Clear communication about fees helps parents budget accordingly and ensures transparency in the childcare arrangement.

What should parents know about the trial period mentioned in the form?

The trial period allows both the provider and the parents to assess whether the childcare arrangement is a good fit. During this time, either party can terminate the agreement without notice. The length of the trial period should be specified in the contract. After this period, a written notice is required for termination, ensuring that both parties have time to adjust to the decision.

What happens if a parent needs to terminate the contract?

Parents can terminate the contract by providing a written notice, typically a specified number of weeks in advance. Payment may still be required for the notice period, even if the child does not attend care during that time. This policy ensures that the provider can maintain their operations while also allowing parents the flexibility to make necessary changes.

How can parents address concerns or questions regarding the contract?

Parents are encouraged to discuss any questions or concerns with the provider before signing the contract. Open communication is vital for a successful childcare relationship. The provider is available to clarify policies, fees, and practices, ensuring that parents feel comfortable and informed about the care their child will receive.

Common mistakes

Incomplete Information: Many parents forget to fill out all required sections of the form. Missing details such as the child’s name or birth date can lead to confusion later. Always double-check that every blank is filled in before submitting.
Not Discussing Fees: Some parents skip the conversation about fees and services with the provider. It’s crucial to understand the payment structure, including rates for additional children and any late fees. Failing to clarify these details can result in unexpected charges.
Ignoring Policies: Parents often overlook the policies outlined in the contract. This includes understanding the termination process and the trial period. Familiarizing yourself with these terms can prevent misunderstandings in the future.
Forgetting to Obtain a Copy: After signing the contract, parents sometimes forget to request a copy for their records. Having a signed copy is essential for reference and ensures that both parties are on the same page regarding agreements made.

Documents used along the form

When enrolling your child in a family daycare, several important documents complement the Babysitting For Parents form. Each document serves a specific purpose to ensure a smooth and clear understanding between parents and providers.

Enrollment and Emergency Medical Consent Form: This form allows parents to authorize the provider to seek medical attention for their child in case of an emergency. It also includes vital information about the child’s health and any allergies.
Authorization to Administer Medication Form: If your child requires medication during daycare hours, this form gives the provider permission to administer it. Parents must detail the medication, dosage, and schedule on this document.
Immunization Record: This document provides proof of the child’s vaccinations. It is essential for the provider to ensure the health and safety of all children in care.
Health Report: Completed by a physician, this report assesses the child’s overall health and fitness for daycare. It helps the provider understand any special needs or considerations for the child.

These documents work together with the Babysitting For Parents form to create a comprehensive understanding of the care arrangement. Make sure to have all necessary forms completed and submitted to ensure a smooth start for your child.

Similar forms

The Babysitting For Parents form is similar to several other documents that serve to establish agreements and expectations between caregivers and parents. Here are eight documents that share similarities:

Child Care Agreement: This document outlines the terms of care, including hours, fees, and responsibilities of both the provider and the parents, much like the Babysitting For Parents form.
Enrollment Form: Similar to the Babysitting form, this document collects essential information about the child and family, ensuring that the provider understands the child's needs and background.
Emergency Contact Form: Like the Babysitting form, this document ensures that the provider has access to important contact information in case of emergencies.
Health and Medical Consent Form: This document, akin to the Babysitting form, allows parents to authorize the provider to administer medication or seek medical care if necessary.
Termination Notice: Similar to the termination section in the Babysitting form, this document outlines the process for ending care, including notice periods and payment obligations.
Parent Handbook: This handbook typically includes policies and procedures, similar to the policies section of the Babysitting form, providing parents with important guidelines for care.
Fee Schedule: Like the payment section in the Babysitting form, this document details the costs associated with childcare services, including rates for additional hours or services.
Trial Period Agreement: This document outlines the terms for a trial period, similar to the trial period mentioned in the Babysitting form, allowing both parties to assess compatibility before committing long-term.

Dos and Don'ts

When filling out the Babysitting For Parents form, it's important to ensure that the process goes smoothly. Here are six things you should and shouldn't do:

Do read the entire contract carefully before signing. Understanding the terms is crucial.
Do provide accurate information for all required fields, including your contact details and your child's information.
Do discuss any questions or concerns about fees and policies with the provider before care begins.
Do keep a copy of the signed contract for your records. This will help you reference agreements made.
Don't leave any sections blank. Incomplete forms may cause delays in enrollment.
Don't ignore the trial period. Be aware of its duration and the terms for termination.

Misconceptions

Misconceptions about the Babysitting For Parents form can lead to confusion and misunderstandings between parents and providers. Below are some common misconceptions, along with clarifications to help parents better understand the form.

Misconception 1: The contract is optional.

The Babysitting For Parents form is not optional. It is a legally binding agreement that outlines the responsibilities of both the provider and the parent. Signing this contract is essential before any childcare services begin.

Misconception 2: All fees are fixed and non-negotiable.

While the form lists specific fees, parents are encouraged to discuss and clarify any questions regarding payment and services with the provider before signing. There may be room for negotiation based on individual circumstances.

Misconception 3: The provider cannot change the contract once it is signed.

Providers have the right to amend the contract or policies. However, they must give parents a notice period of at least a specified number of weeks before any changes take effect, ensuring that parents are informed and can agree to the new terms.

Misconception 4: Parents are not responsible for payment on holidays.

This is not entirely accurate. The contract specifies conditions under which parents may or may not be required to pay for holidays. Parents should carefully review these terms to understand their financial obligations during holiday periods.

Misconception 5: Absences due to illness do not require payment.

Parents may still be responsible for payment during their child’s absence due to illness, depending on the terms outlined in the contract. It is crucial to clarify this aspect with the provider to avoid unexpected charges.

Misconception 6: The trial period is just a formality.

The trial period is a significant part of the contract. It allows both the provider and the parents to assess if the childcare arrangement is suitable. During this time, either party can terminate the agreement without notice, which emphasizes its importance.

Key takeaways

Filling out and using the Babysitting For Parents form is an essential step in establishing a clear understanding between parents and childcare providers. Here are some key takeaways to keep in mind:

Understand the Contract: Before signing, read through the entire contract to grasp all policies and fees. This ensures that both parties are aware of their responsibilities.
Complete All Sections: Fill out every section of the form accurately, including the names, addresses, and contact details of both parents and the provider.
Discuss Fees: Have a conversation with the provider about payment structures, including hourly, daily, and weekly rates, before care begins.
Review Additional Fees: Be aware of any additional fees that may apply, such as late pick-up charges or fees for holidays when care is not provided.
Trial Period: Note that there is a trial period for enrollment. During this time, either party can terminate the agreement without notice, which helps ensure a good fit.
Communication is Key: Maintain open lines of communication with the provider. Address any concerns or questions promptly to foster a positive relationship.
Obtain a Copy: After signing the contract, make sure to obtain a signed copy for your records. This is important for reference and accountability.

By keeping these takeaways in mind, parents can navigate the Babysitting For Parents form with confidence, ensuring a smooth experience for both themselves and their children.