Parties
Full legal names of the provider and the parent or guardian, including business name for centers and contact information for each party.
A written agreement protects both families and providers by documenting payment terms, liability allocations, health authorizations, and termination rights. It reduces misunderstandings, supports licensing and inspection requirements in many jurisdictions, and establishes a clear record of consent for medical care and emergency contacts in case of injury or illness.
Parents and providers use this agreement to set clear service, safety, and payment terms in writing before care begins.
The signed agreement becomes the operative reference for daily operations, billing, and emergency procedures until amended or terminated.
Full legal names of the provider and the parent or guardian, including business name for centers and contact information for each party.
Child's full name, date of birth, allergies, medication instructions, and any special needs or dietary restrictions that affect daily care.
Days and times of care, hourly or flat fees, payment due dates, late fees, deposit policy, and refund/holiday arrangements.
List of authorized pickup persons, required ID procedures, and protocol for unauthorized pick-up attempts or court orders.
Consent for emergency medical treatment, designated physician, emergency contact details, and guidance for illness exclusion and medication administration.
Notice period for ending the agreement, grounds for immediate termination, handling of deposits, and dispute-resolution preferences.
| Field | Configuration |
|---|---|
| Signing Order | Parent signs first, then provider |
| Authentication | Email link; optional SMS code |
| Reminders | Automatic reminders at set intervals |
| Storage Format | PDF with audit trail |
Choose a platform that accepts PDF and DOCX, preserves audit trails, and supports guest signing for parents without accounts.
Ensure the chosen method captures signer attribution and timestamp data to meet ESIGN/UETA record-retention and proof requirements.
Agreement begins on the stated MM/DD/YYYY
Specify due date each billing cycle
Typical 2–30 days for termination notice
Require immediate updates for allergies or meds
Recommend yearly policy and info review
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by plan | Varies by plan | Yes, limited | Yes, limited |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A home provider documents pickup, allergy management, and late-fee policy before enrollment
A multi-room center centralizes intake with a standard agreement and digital signature workflow