Busy Bee’s Childcare



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Parent Handbook

Facility Policies Index

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Welcome

Philosophy

About Busy Bees Childcare

Rate Sheet

Required Registration Forms

Busy Bees Program

-Daily Schedule

-Educational Program

-Discipline and Guidance

-Communication with Families

-Parent involvement

Healthy Family’s

-Child Assessment

-Meal Time

-Sample Menu

-Immunizations

-Health Evaluation (physicians report)

-Medication administration

Facility Rules

Facility Policies

-Late Policies/Overtime Rates

-Sick days / holidays/ vacation

-Program closings and emergency preparedness plans

-Payments

-Promotional and Discounted Rates page

Questionnaire

Copy of Contract

Two-week notice

Welcome to Busy Bees Childcare

Dear Family,

Welcome to Busy Bees Childcare!

We are so excited to share our passion for young children’s care and education with you. Each day you will hear from us and your child about the fun experiences that we’ve shared together. Our goal is that your child will come home every day happy and eager to tell you about their day here at Busy Bees. We will be encouraging your child to ask questions, to explore their own ideas and to draw or write down what they learn through play to become independent learners.

We want your child to enjoy their day and to benefit from all the learning opportunities; we ask that you partner with us by preparing them for each day. This handbook will help explain how you can support, what you can expect from us and we can expect from you. We may find it necessary to make changes to this handbook for time to time, in that case we will provide you with a printed addendum.

You are now a part of our Busy Bees family and we welcome any questions you may have, comments or ideas, so please don’t hesitate to share. We look forward to partnering with you in your child’s care and education.

Sincerely,

Shoni Morris

Busy Bees Childcare Owner/Teacher

Philosophy

Busy Bees philosophy is that early childhood should be a time for exploration and discovery. Children should be allowed to develop at their own pace supported and guided to reach their full potential while maintaining a happy healthy self-esteem. Our purpose is to provide an atmosphere where your child can grow physically, social-emotionally, creatively, and intellectually while preparing for kindergarten.

About Busy Bees Childcare

We are a home daycare that provides children with a warm and safe place to be themselves. We are liability insured, CPR certified, and Live Scan finger printed. Busy Bees participates in the child care food program.  Our home is a one level single family home with a backyard filled with play structures suited for toddlers and children 12 years old and up.

We are in Antioch California less than five minutes from the Hwy 4 on-ramps going toward Oakland, Sacramento, and the Antioch Bridge. 

We provide transportation to and from Orchard Park School in Oakley California, as well as other Antioch Schools. 

Our “busy bees” are offered a variety of opportunities to explore and learn through play, meet new friends and go on field trips to farms to enjoy hayrides, farm animals, and pick fruits and vegetables. In the summer, we go to Contra Loma Recreational Park for swimming (life jackets are provided by the pool facility).

Your child will build basic socialization skills, hand eye coordination, large and fine motor skills, extended verbal vocabulary, and manners while having fun being a part of Busy Bee's Family! 

Rate Sheet

Effective date: 1/1/2015

My rates are as follows:

Full-time Part-Time

Infants Ages 0-2 $225.00 per week $210.00 per week

Preschoolers Ages 3-5 $210.00 per week $175.00 per week

School Age Ages 6+ $165.00 per week $150.00 per week

Drop off/pick up from school $20.00 per week

Hourly Care: $10.00 per hour

Drop in care (24 hour notice): All ages $45.00 per day

Busy Bee holiday dates are as follows (not including vacation):

Easter Day Memorial Day

Independence Day Veterans Day

July 4th Labor Day

Thanksgiving Day

Christmas Eve

Christmas Day

New Year’s Day

Required Registration Forms

• BUSY BEES CHILDCARE REGISTRATION FORM

• COPY OF CHILD’S CURRENT IMMUNIZATION RECORDS

• IDENTIFICATION AND EMERGENCY INFORMATION (700)

• PHYSICIAN’S REPORT (701)

• CHILD’S PREADMISSION HEALTH HISTORY—PARENT’S REPORT (702)

• CONSENT FOR EMERGENCY MEDICAL TREATMENT (627)

• PERSONAL RIGHTS (613a)

• AFFIDAVIT REGARDING LIABILITY INSURANCE (282)

• FAMILY CHILD CARE HOME NOTIFICATION OF PARENTS’ RIGHTS (995a)

• PARENT NOTIFICATION ADDITIONAL CHILDREN IN CARE (9150)

Daily Schedule

Early Morning

Breakfast 1

6:00-7:30 a.m.

Early arrivals may be here getting ready for school or beginning there day here at Busy Bees. Some children will eat breakfast now if they go to school. Following breakfast, infants are changed and napped if necessary (children nap as needed and go by their own schedule). Older children help clean-up and play with table top toys or read books until everyone finishes breakfast and cleans up.

Transportation

Children that attend school will be dropped off and an assistant will be with the infants, toddlers, and preschool children as they are resting or doing a quiet activity.

Breakfast 2

7:30-8:30 a.m.

Children will eat breakfast with an assistant will be with the infants, toddlers, and preschool children. They will have free play (choose their own activity) at this time of the day.

Morning Activities

Free Choice 8:30-9:00 a.m.

Children will choose what activity they would like to play; dramatic area, blocks, puzzles, reading etc. while lunch is being prepared. Children will clean-up from free play and then wash hands and get ready for next activity.

Writing Center (fine motor skills) 9:15-9:45 a.m.

Children gain letter writing skills in stages and they will be given opportunity to develop and practice at their level by scribbling, drawing, letter like forms and shapes, letters and spaces, writing, and conventional spelling and writing.

Learning Circle (music and movement) 10:15-10:30 a.m.

Children will sing songs move their body and develop communication and listening skills while paying attention to their teacher and peers. This will help children learn boundaries and follow directions while having fun learning vital information such as the alphabet, colors numbers, and patterns.

Arts and Crafts (Fine Motor and Manipulatives) 10:30-11:00 a.m.

Toddlers and preschool children will be developing their fine motor skills in their hands and fingers will be busy doing projects and activities such as working with play dough and play dough tools, coloring, tearing or shredding paper, using scissors, gluing and pasting. During these activities opportunities for learning will be incorporated. Children will help clean-up and then wash hands.

Outdoor Play 11:00-11:45 a.m.

Children will get ready for outside: use the potty/diaper change, wash hands, get on coat and shoes etc. (weather permitting). Outdoor play and/or walks, possibly a science project such as gardening.

Lunch Time 11:45-12:45 p.m.

Lunch is served, and conversation takes place as children’s needs are met while they eat. Older children put their dishes in the sink and clean-up their eating area. Hands are washed, diapers changed, and teeth brushed.

Transportation

Children that attend school will be picked up and an assistant will be with the infants, toddlers, and preschool children as they are resting or doing a quiet activity.

Story Time 12:45-1:00 p.m.

Children gather for a story to be read aloud. Children also have opportunity to read aloud to the group.

Rest Time 1:00-3:00 p.m.

Everyone (except, possibly, for a baby who has just woken up) has a time of rest. They do not have to sleep, but they may rest quietly on their bed for 30 to 40 minutes before allowed to get up and begin a quiet activity. As children wake up, children use the bathroom, diapers are changed, hands washed, and beds are put away.

*Infants will nap more often, sometime two to three times a day on their own schedules, which will change as they grow. Infant’s needs are met as they demand it, not according to this schedule.

Afternoon Activities 3:00-3:45 p.m. Snack Time

Wake up from nap, use the bathroom, change diapers, wash hands, and sit down for snack. When children arrive from school they wash hands and join snack.

3:45- 4:30 p.m. Free Play

Indoor or outdoor play for all children and school-age children may work on their homework.

Late Afternoon Activities 4:30-5:15 p.m.

Story time or singing in a circle (we also share our highs and lows of the day if we want to with our friends at the end of circle), non-disruptive play for those who do not want to participate in the group activity.

Group Gathering Time 5:15-6:00 p.m.

Children go home at staggered times. Family information is made ready. Children will use the bathroom, diapers are changed, hands washed. Children can color, look at books, play with table top toys, or puzzles until their parents arrive. The events of your child’s day are discussed as they are picked up.

Educational Program

Infants and toddlers grow and change at a fast pace. Busy Bees provides a safe and nurturing environment allowing exploration and learning while infants are supported emotionally and physically.

Preschool children are gaining more self-esteem and are better able to self-regulate their emotions. They are now better at communicating their feelings and are now ready for more independent play. Preschoolers will have more opportunity for self-exploration, structured activities, and hand-on learning to develop their knowledge in literacy, math, science, and social skills.

School age children are very independent and are given many opportunities to utilize their problem-solving skills, wide vocabulary, and to develop their leadership skills. School age children are provided help with their homework and school projects. They have access to the computer and many informational books.

~Young children learn through play, and Busy Bees has a certified infant and toddler teacher that provide the foundation necessary to build a love of learning. The program is designed to care for and educate your infant and toddler by providing the following benefits:

~Nurturing personal care that builds a secure and trusting relationship: We respond to your infants and toddler’s cues with sensitivity by using words, facial expressions and eye contact to communicate. Family photos are welcomed to promote self-awareness and provide familiarity.

~Teacher-child interactions that spark curiosity and socialization, playtime and experiences that help boost cognitive and motor skills: Daily interactions help your child learn to engage with others as they are spoken to and gestured to non-verbally (infants). As we talk to your child and help them explore they will learn cause-and-effect, trial-and-error, and object permanence through play, with a variety of materials to help them discover shapes, textures, colors, and sizes.

The environment has:

~age appropriate materials and equipment to support learning and development

~all ages can freely move and explore

~safe sleeping routine meets the American Academy of Pediatrics.

~all ages are provided with activities to learn and grow

Discipline and guidance

Children who are having difficulty for any reason will be re-directed to another activity with teacher assistance. If a child’s behavior is likely to result in harm to the child, or others or property, or seriously disrupt the rest of the groups interactions, the child will be separated briefly from the group. The child will sit with another assistant or teacher and be supervised the entire time until they can gain enough self-control to rejoin the group. Interaction between the child and assistant or teacher will take place immediately to guide the child towards appropriate behavior. A method of discipline which frightens, demeans, or humiliates a child is strictly prohibited.

Communicating with Families

In addition to daily check-ins during drop off and pick up, there are many ways to keep you knowledgeable about what is happening during your child’s day at Busy Bees.

• Weekly handouts/reminders of upcoming planned activities

• Telephone calls or text messages

• E-mails

• Notices

• Articles of interest, community resources or happenings that may interest your child or family.

Parent involvement

At Busy Bees we strive to provide children with the best start in life by trying to ensure they have all the tools they need to begin kindergarten and succeed in all future grade levels. We ask that parents partner with Busy Bees in completing assessment questionnaires, health assessments, and meet for two conferences per year. This requires some time set aside and additional paper work to be filled out 3-4 times per year.

Other ways for families to be involved at Busy Bees is to donate any of the items on the monthly newsletter and stop by anytime to help complete a fun art project or watch your little one play. We have an open-door policy and you may stop by unannounced anytime.

Healthy Family’s

Child Assessments

The Ages & Stages Questionnaires-Social Emotional (ASQ: SE) were developed to monitor a child’s development in the behavioral areas of self-regulation, compliance, communication, adaptive, autonomy, affect and interaction with people. This ASQ and ASQ-SE is a questionnaire that is simple for parents and providers to complete to evaluate children’s current developmental and social-emotional development. Busy Bees uses the Ages and Stages Questionnaire for social-emotional screening of your children from age 2 months through 60 months of age. All screenings must be done within three months of entry into the program. Your child’s teacher will administer the ASQ or ASQ-SE and the results will be shared and discussed with you during your first formal family/teacher conference. Families are asked to participate in the screening process by completing the ASQ with their child at home. The ASQ-SE is used to monitor children’s social-emotional development and help answer questions that occur regarding any concerns about their development. I have read and understand Busy Bees Childcare assessment policies and procedures. I grant permission for my child to receive the ASQ and ASQ-SE Screening and I agree to complete the ASQ Questionnaire and/or the ASQ Social Emotional (ASQ-SE) Developmental Screening and return the completed forms to my child’s lead teacher.

_______________________________________________________Date___________________

Parent or Legal Guardian

Meal Time

Busy Bees is a part of the Childcare Food Program offered through the state of California to ensure healthy feeding of children while in care. Times for meals are dictated through this program that Busy Bees must comply with.

Breakfast

6:00 am-8:30am

Am snack

9:45am-10:15am

Lunch

11:45pm-12:45pm

Pm snack

3:00pm-3:45pm

*Infants will eat based are their individual needs. They will be offered food at all of these meal times as well as fed whenever they become hungry.

*Toddlers and preschool age children need to eat more often, sometimes a healthy snack will be offered in between these times if a child says they are hungry.

*These times are when meals are generally served. If your child comes after right after one of the meals please make sure to feed them before dropping them off as they may have to wait for the next meal time to eat.

Sample Menu

Monday

Breakfast- Waffles, blueberries, and milk

Am snack- Cheese crackers and fruit

Lunch- Grilled Cheese, peaches, carrots, milk

Pm Snack- Muffins and juice

Tuesday

Breakfast- Cereal, banana, and milk

Am snack- cheese stick and grapes

Lunch- breaded chicken, corn, banana, slice of bread and milk

Pm Snack- cheese quesadilla and apples

Wednesday

Breakfast- Pancakes, peaches, and milk

Am snack- Yogurt and apples

Lunch- Corn dog wraps, applesauce, carrots, slice of bread and milk

Pm Snack- homemade apple spice coffee cake and juice

Thursday

Breakfast- Cereal, milk, and juice

Am snack- graham crackers and peanut butter

Lunch- Turkey sandwich, carrots, raisins and milk

Pm Snack- cheese crackers and grapes

Friday

Breakfast- Fruit cobbler and milk

Am snack- cheese crackers and apples

Lunch- pasta, green beans, pears, slice of bread and milk

Pm Snack- Ham and cheese croissant wraps

Immunizations

Immunizations are an important part of your child’s health and upon enrollment we will need an up to date copy of your child’s immunization records. Although here at Busy Bees we understand if this is not a part of your family’s beliefs, and you have chosen to not vaccinate your child or have chosen a few vaccines, you can still enroll. A form will be provided for you to fill out and sign to keep in your child’s file stating that your child is not vaccinated and or has only had some vaccines.

Health Evaluation (physicians report)

The Health Evaluation form helps us at Busy Bees know what tests and assessments your child has had at their pediatrician’s office. This type of assessment will be beneficial to the child as well as the other children in the childcare facility. It can help to detect early health problems such as hearing and vison problems. Early detection can help to provide a child with glasses that will enable them to see and be able to learn at the proper rate, whereas without the assessment it can go undetected and reading could be delayed.

Medication administration

A medical release/medication dispensing form as well as doctor instructions are required for all medicine (Tylenol included) administered to the child while in care. Medications must be brought in the original container sealed with child’s name on the bottle.

Facility Rules

1. All Children enter child care on a trial basis (two weeks), to ensure proper adjustment for provider, child, and parents/guardian.

1. All forms must be returned completely filled out before a child enters care. All forms are subject to a yearly renewal and must be kept up to date by parent/Guardian

1. Child care fees are required to be paid in advance of care and is based on enrollment not attendance (excludes subsidized childcare)

2. All children will rest or have quiet time in the early afternoon parents/guardian are asked to provide a washable blanket and pillow for all children in care between 12:30 pm and 3:00 pm

3. Child belongings should be labeled with the Child’s name. The Facility is not responsible for lost items

4. Guardians are expected to provide a daily change of clothing for babies and a spare set of clothing for toddlers. Guardian must provide diapers or pull ups and wipes for infants/toddlers. (facility will provide this for a $3 dollar fee per day)

5. The Child must be brought to the door signed in and the arrival announced to the provider. The Child must be picked up at the door signed out and the Facility attendant notified when the child is leaving

6. Do not Double Park. In order for the Facility to coexist with its neighbors, it is necessary that driveways be respected and that parking be done legally. Please respect good relations with neighbors

7. Guardian is responsible for any and all actions of the Child, and damages and fees that are a result of Childs actions

8. The facility will charge a fee for picking up or dropping off children at school/home.

9. Calls after 7:00 pm will not be answered until the next business day (please ask your questions and concerns during business hours or schedule a parent conference to provide additional time to talk)

10. If your child needs to be taken from the facility by any emergency medical transport, parents are responsible for any and all charges that will be associated with that.

11. The facility has car seats that can be used for your children. But on case by case basis we may require parent/guardian to provide a car seat for your child.

12. Your child will not always be cared for by the primary provider and will be in the care of employee assistants that work for Busy Bee’s Childcare that meet all state and license requirements and will be providing care for your children on a daily basis/or when necessary.

13. The primary provider or assistant will facilitate the need of a bath if your child has a potty, activity, or meal incident/accident. If parent/guardian does not want provider or assistant to allow child to be bathed then parent/guardian must provide a doctor’s note with instructions for what steps should be taken.

14. If your child is going to harm themselves or others then child will be placed in a separate safe area until child calms down with supervision

15. If the parent/guardian supplied diapers or wipes run out then the facility will use facility supplies as necessary and guardian will be billed accordingly.

16. Your Child may not always be in the facility. Providers, assistants and children go on walks to the park and short nature walks around the neighborhood(weather permitting)

17. Children must come ready to participate and play in the activities for the day. Play clothes (that can get dirty) and tennis shoes (to protect toes) help everyone enjoy each activity to its fullest.

18. Please refrain from putting any type of perfumes or cologne on your child as other children or daycare personnel may be allergic.

Facility Policies

Late policies and overtime rates

1. Parent/Guardian must call to notify Facility that they will be late to pick up their child

2. For the first ten minutes (6:01pm-6:11pm) a late fee of $1 per minute will be assessed per child. After ten minutes has passed I will start charging the hourly fee of $8 dollars per hour (15 minutes will count as an hourly charge. For example: 6:12-6:26pm).

1. If parent/guardian is unavailable to reach by phone and still have not picked up child 30 minutes after business hours 6:30pm an alternate person on the emergency contact list will be called to pick up the child.

2. If parent/guardian knows in advance that they will be unable to pick up their child, please call in advance to arrange additional/alternate care. Alternate care may be provided by assistants at the daycare facility.

3. The facilities business hours are from 6:00 am to 6:00 pm. If you require an early drop off or late pick before or after regular business hours please discuss this need in advance of needed care.

Sick days / holidays/ vacation

1. If the Facility primary provider is sick the facility will stay open when possible with assistants and primary provider available to care for the children. Two days notice will be given, whenever possible.

2. Parent/Guardian should notify the Facility if the child has been ill at home during the evening, morning, or weekend before attending child care and may not be brought to the facility if it has been less than 24 hours from the time of fever, vomiting, diarrhea or illness

3. If your child is not themselves and cannot participate in the regular activities; running, jumping, coloring, block play- throughout the day your child should stay home.

4. Parent/Guardian vacations (one week or more) are payable at regular fees. The parent will be charged the full price of weekly care fees in order to hold the child’s place open during vacations, holidays, and absences. Please notify facility as soon as possible when vacations will take place.

5. Facility provides at the beginning of the year a list of closed days such as holidays or vacation days. This list is subject to change and two weeks notice will be given whenever possible. Parents/guardians will be required to make payments to facility for holidays/vacations to hold their child’s slot. If payment is not made in full the facility will only watch child for days that have been paid and there after your child’s slot will be considered open.

Payments

1. Payments are made two weeks in advance for childcare beginning the first date child starts care. (Due upon signing contract for care and due every other Friday thereafter, unless other arrangements have been discussed.)

2. Acceptable payment is cash, check, and or credit.

3. Late fees for failure to pay are five dollars every day until the payment is made in full. Care is not continued until payment is made.

4. If a check is returned for non sufficient funds a return check fee for $25 dollars will be due and the full payment will need to be made in cash.

5. After two such non sufficient funds transactions from checks results checks will no longer be accepted and cash payments will need to be made there after.

6. When vacations taken by Guardian or Provider payments for care are to be made prior to the vacation departure dates.

Promotional and Discounted Rates

a. Promotional rate means the client has a rate due to an advertised special for the facility.

b. This promotion is for three months of care at a rate of 15% off the original rates.

c. The promotion requires a sixth month commitment from the client to qualify for three months discount.

d. Failure to stay enrolled for sixth month’s results in back payment due for the fee in the amount of the discount received. Example: (Your child is enrolled for two months that cost $1,190 with your discount of 15%, you give two week notice. The regular rate for two months is $1,400, so you would owe the difference of $210 (the amount you saved with the discount).

e. The last two weeks of care will be charged at the regular full rate.

f. Discounts given for financial hardship will be given at the discretion of the facility owner and will have all information pertaining to the agreement of Appendix A that is bound by the contract.

Questionnaire

(Please fill out and return)

Dear Families,

When you share your family traditions with your child’s teacher, you provide your child the opportunity to delight in experiencing these special events in the classroom, and, at the same time, offer his/her classmates an opportunity to enjoy them as well.

*Please fill in the information below and return the form to your child’s teacher. We really appreciate you helping us share your traditions with the children.

1. What songs do you sing (lullabies, car songs, bath-time songs, holiday songs, birthday songs) to your child at home? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. What special foods do you enjoy with our family? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. How do you celebrate birthdays and other special events? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. What activities do you enjoy when extended family is gathered? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. What books do you enjoy sharing with your child? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. What kinds of dances does your family enjoy? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. What special ways do you have for showing your love and affection for your child? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. What are some objects you use for family gatherings and celebrations? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. What language would you prefer to communicate about your child?

o English

o Other

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Contract

Date _____________________

I, _________________________________ (herein after referred to as Guardian) agree to enroll my child _______________________________ (herein after referred to as Child) age _________ in the Busy Bee’s Childcare (herein after referred to as Facility). Guardian has received and read the Facility enrollment packet and agrees to comply with all rules and responsibilities as stated. This contract, a legal and binding agreement as long as Child is enrolled, will be valid beginning _______________________. Two weeks’ notice by either party in writing will be required in order to terminate this contract. Payment for the remainder of the two weeks is due in full amount even if the child does not attend. This contract will be revised on annual basis. Hours of child drop off and pickup with pricing will be outlined in Appendix A.

All payments are in advance of child care to be provided. Acceptable payment methods are Cash, Check or Credit Card. Any and all returned checks will be charged a return check charge of $35.00. All child care will be suspended until all fees are paid in full. Any change to Hours agreement must be mutually agreed upon and Appendix A updated.

Parents are to provide the names and copies of state identification of any person authorized to pick up the child. Medical and insurance information and any special dietary or health concerns for the child must be provided and kept up to date by Guardian.

Guardian must sign below to enroll their child in Facility. By signing this document Guardian pledges that they have read the Facility enrollment packet and agree to comply with all rules and responsibilities therein. If there is a dispute, regarding any of the rules, (WITH THE EXCEPTION OF MONETARY) this document should settle it, but if not, both Facility and Guardian agree to use arbitrations as a means to settle the dispute. One Guardian may sign this document as long as it is understood that signature represents all persona legally responsible for the child listed below. The policies and procedures may be changed or amended at any time with a two week notice from Facility.

________________________________ Date: ________________________

Provider Signature

________________________________ Date: ________________________

Parent Signature

________________________________ Phone # __________________________

Parent Signature

Address: __________________________ City: __________________ Zip: __________

Appendix A

Rates: based on enrollment not attendance

| | |Full-Time |Part-Time 3 days per week |

|Infants |Ages 0-2 |$225.00wk |$210.00wk |

|Preschoolers |Ages 4+ |$210.00wk |$175.00wk |

|School Age |Ages 8+ |$165.00wk |$150.00wk |

| | |

|Drop in care* |All ages |$10.00 per hour |Minimum of one hour |

*Based on 1 day per week and availability

|Pick up and Drop off fee per week |$20.00 |

Child hours

|Monday from |_________ AM/PM |to _________ AM/PM |Total Hrs. in facility ________* |

|Tuesday from |_________ AM/PM |to _________ AM/PM |Total Hrs. in facility ________* |

|Wednesday from |_________ AM/PM |to _________ AM/PM |Total Hrs. in facility ________* |

|Thursday from |_________ AM/PM |to _________ AM/PM |Total Hrs. in facility ________* |

|Friday from |_________ AM/PM |to _________ AM/PM |Total Hrs. in facility ________* |

Today’s date: __________________

Two Week Notice

I ______________________________ give my two weeks’ notice to

Parents Name

_______________________________. My child/children’s__________________ last

Facility name child/’s name

Two weeks of enrollment is _______________________ and the last day Month/day/year

In care will be _________________________.

Month/day/year

Reason for terminating contract enrollment: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

By signing this notice I acknowledge that I am responsible for any and all fees that I may owe for the last two weeks of care and fees are due even if child does not attend the last two weeks of care.

Signature of parent _______________________________________________

Signature of provider ____________________________________________[pic]

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