
Home Care Services Agreement – Caregiver Contract for In-Home Senior & Personal Care
$5.99
Establish clear expectations between childcare providers and families with this professional Child Daycare Service Agreement Template.
Designed for home daycare providers, childcare businesses, nannies, and small daycare centers, this customizable agreement puts important policies regarding enrollment, tuition, scheduling, illness, medication, meals, authorized pickup, emergency care, closures, and termination in writing.
The agreement identifies the daycare provider, parent or guardian, and child and provides customizable terms for the child's start date and regular care schedule.
WHAT’S INCLUDED
This Child Daycare Service Agreement includes:
• Daycare / Provider Information
• Parent or Guardian Information
• Child Information
• Enrollment Start Date
• Regular Childcare Schedule
• Guaranteed Space Policy
• Tuition Rate
• Payment Due Date
• Late Payment Fee
• Late Pickup Fee
• Health & Illness Policy
• Return-to-Care Requirements
• Parent Illness Notification Procedures
• Medication Requirements
• Diaper & Hygiene Supply Responsibilities
• Meal & Snack Responsibilities
• Allergy Notification
• Authorized Pickup List
• Photo ID Requirement
• Emergency Medical Consent
• Paid Holiday Policy
• Emergency Closure Procedures
• Withdrawal Notice Requirements
• Provider Termination Policy
• Parent & Provider Signatures
ENROLLMENT & CHILDCARE SCHEDULE
Clearly document when care begins and establish the child's normal daycare schedule.
Customize:
✓ Start Date
✓ Days of the Week
✓ Drop-Off / Start Time
✓ Pickup / End Time
✓ Guaranteed Childcare Space Policy
The template includes a guaranteed-space provision stating that the flat rate reserves the child's spot and that no refunds or credits are provided for holidays, illness, or family vacations.
TUITION & PAYMENT TERMS
Put your childcare fees in writing and establish clear payment expectations from the beginning.
The agreement includes customizable fields for:
• Weekly or Monthly Tuition Rate
• Advance Payment Due Date
• Late Payment Fee
• Payment Deadline
• Late Pickup Fee
• Late Pickup Interval
• Daycare Closing Time
HEALTH & ILLNESS POLICY
Create written expectations for when a sick child should remain home.
The template addresses:
• Fever
• Unexplained Rash
• Persistent Vomiting / Diarrhea
• Return-to-Care Requirements
• Symptom-Free Period
• Fever-Reducing Medication
• Parent Pickup When a Child Becomes Ill at Daycare
The included form currently uses a 100.4°F fever threshold and allows the provider to select a 24- or 48-hour symptom-free period. These predetermined health provisions should be reviewed and customized for the provider's actual policies and applicable childcare requirements.
MEDICATION POLICY
Establish rules for medication administration during childcare hours.
The agreement provides that prescription or over-the-counter medication will only be administered when a separate Medication Authorization Form has been signed and the medication is provided in its original container.
DIAPERS, WIPES & CHILDCARE SUPPLIES
Clearly define what parents are expected to provide for their child.
The template addresses:
✓ Diapers
✓ Wipes
✓ Change of Clothes
✓ Provider-Supplied Items
✓ Optional Fee for House Supplies
MEALS, SNACKS & ALLERGIES
Establish whether meals will be provided by the daycare provider or parent.
The agreement includes customizable provisions for lunch and two daily snacks and asks parents to provide written notification of life-threatening allergies.
AUTHORIZED CHILD PICKUP
Help establish clear pickup procedures for each child.
The agreement includes a dedicated authorized-person list with fields for:
• Authorized Person's Name
• Phone Number
• Additional Authorized Individual
It also requires photo identification when an authorized individual picks up the child for the first time.
EMERGENCY MEDICAL CONSENT
The template includes an emergency provision authorizing the provider to seek emergency medical treatment and/or transportation when a parent cannot immediately be reached.
This section should be reviewed against applicable childcare licensing rules and any separate emergency medical authorization documents required in the provider's jurisdiction.
HOLIDAYS & DAYCARE CLOSURES
Set expectations for scheduled and unexpected daycare closures.
Customize:
• Paid Daycare Holidays
• Holiday Closure Dates
• Extreme Weather Closures
• Facility Emergencies
• Parent Notification Method
• Text or Email Notifications
• Notification Deadline
WITHDRAWAL & TERMINATION POLICY
Protect both parties by establishing how the childcare arrangement may end.
The template includes a customizable written-notice period for parents who wish to withdraw their child.
It also contains provisions allowing the provider to terminate care for circumstances involving non-payment, behavioral issues that threaten safety, or failure to comply with the agreement's terms.
PARENT & PROVIDER SIGNATURES
Finalize the agreement with dedicated signature and date fields for:
• Parent / Guardian
• Childcare Provider
PERFECT FOR
• Home Daycare Providers
• Family Childcare Businesses
• Childcare Centers
• Small Daycare Centers
• Independent Childcare Providers
• Nannies
• Babysitting Businesses
• In-Home Childcare Providers
• New Daycare Businesses
• Childcare Enrollment
• Parent-Provider Agreements
• Daycare Policy Documentation
CUSTOMIZABLE FOR YOUR CHILDCARE BUSINESS
Personalize the agreement with your:
• Daycare Name
• Childcare Provider Name
• Parent / Guardian Name
• Child's Name
• Care Schedule
• Tuition Rate
• Payment Schedule
• Late Fees
• Late Pickup Fees
• Illness Policies
• Medication Procedures
• Supply Requirements
• Meal Arrangements
• Authorized Pickup Persons
• Paid Holidays
• Closure Procedures
• Withdrawal Notice Period
DIGITAL DOWNLOAD
This is a digital product. No physical item will be shipped.
Your purchase includes a customizable 2-page Child Daycare Service Agreement in PDF and Word formats.
Download the files, personalize the agreement to reflect your childcare business's policies, and have parents or guardians review the completed terms before signing.
IMPORTANT CHILDCARE & LEGAL DISCLAIMER
This template is provided for general informational and document-preparation purposes only. It does not constitute legal, medical, childcare licensing, employment, insurance, or regulatory advice.
Use of this agreement does not guarantee compliance with state or local childcare laws or licensing requirements. Requirements for home daycares, childcare centers, medication administration, illness exclusion, emergency medical authorization, authorized pickup, staff-to-child ratios, recordkeeping, meals, and parent notifications vary by jurisdiction and type of childcare provider.
The template contains predetermined policies—including a 100.4°F fever threshold, symptom-free return period, medication requirements, guaranteed-space/no-refund policy, emergency medical authorization, and immediate termination provisions—that should be reviewed and customized before use.
Childcare providers should verify applicable state and local licensing requirements and consider having the completed agreement reviewed by a qualified professional before implementing it.
Due to the nature of digital products, all sales are final.

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