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POTSDAM BUILDING BLOCKS DAY CARE, INC.

CHILD CARE SERVICE CONTRACT

CURRENT FEES

 

 

 

 

 

 

 

 

 

 

 

 

 

ANNUAL INCOME

I require care for the following times as indicated (please check appropriate boxes):

INFANT

FULL TIME

INFANT 6 + HOURS

PRE-SCHOOL

FULL TIME

PRE-SCHOOL

3-6 HOURS

 

 

PRE-SCHOOL

6+ HOURS

SCHOOL AGE AFTER SCHOOL

FULL TIME

SCHOOL AGE

AFTER SCHOOL PART TIME

SCHOOL

AGE BEFORE SCHOOL CARE

PART TIME

SCHOOL AGE BEFORE SCHOOL CARE FULL TIME

SCHOOL AGE 1/2  DAY

(SCHOOL CLOSURE 3-6 HOURS)

SCHOOL AGE FULL DAY (SCHOOL CLOSURE 6+ HOURS)

SCHOOL AGE FULL WEEK

SCHOOL CLOSURES/

SUMMER BREAK

 

WEEKLY

DAILY

WEEKLY

DAILY

DAILY

WEEKLY

DAILY

DAILY

WEEKLY

DAILY

DAILY

WEEKLY

9 $0-45,000

9 $135.00

9$32.50

9$120.00

9$22.50

9$28.75

9$55.00

9$12.00

9$6.00

9$30.00    

9$22.50

9$30.00

9$120.00

9$45,001-69,999

9 $150.00

9$35.50

9$135.00

9$25.00

9$31.75

9$62.00

9$13.75

9$6.00

9$30.00

9$25.00

9$32.50

9$135.00

9$70,000 & UP

9 $165.00

9$38.50

9$150.00

9$27.50

9$33.75

9$69.00

9$15.50

9$6.00

9$30.00

9$27.50

9$35.00

9$150.00

 

CONTRACT FOR SERVICES

I, _____________________________________, of ________________________________________________________

(Parent/Guardian Name)                                                           (Street, Town, State, Zip Code)

      am contracting for child care for ________________________________________________________________________.

                              (Name of Child or Children)

My child/ren will be in attendance on the following days

9 Monday          9 Tuesday         9 Wednesday         9Thursday         9 Friday       My child will arrive at ___________ and be picked up at ____________.

9 Monday          9 Tuesday         9 Wednesday         9Thursday         9 Friday       My child will arrive at ___________ and be picked up at ____________.

 

I, _____________________ agree to pay Building Blocks the fee of $______________ weekly, bi-weekly/monthly basis (circle one) and that in instances when school is closed due to inclement weather, my bill will be adjusted accordingly.  I understand that if payment is not made as scheduled, late fees will be assessed and my childcare services will be terminated.   I understand that I will be billed for all days contracted and that I will be responsible for payment even  when my child is absent due to illness.    I hereby agree to abide by all policies as stated in the PBBDC Handbook and Child Care Service Contract.

 

Parent/Guardian Signature: ____________________________________                                                   Date: _________________________

Director Signature: __________________________________________                                                   Date: _________________________

 

 

There is a 25% discount for each additional child