Establishing secure connection…Loading editor…Preparing document…

Childcare Services Agreement

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

CHILDCARE SERVICES AGREEMENT

This Childcare Services Agreement (the "Agreement") is entered into between:

WHEREAS

WHEREAS, Provider operates a childcare service and offers supervision, care, and educational activities for children; and

WHEREAS, Parent desires to engage Provider to provide childcare services for the Child(ren) identified above and Provider agrees to provide such services under the terms and conditions set forth in this Agreement.

SCOPE OF SERVICES

Provider shall furnish childcare services including supervision, feeding, diapering/toileting assistance, age-appropriate activities, rest periods, and routine recordkeeping. Specific services and any special instructions are set forth below.

SERVICE SCHEDULE

Regular days and hours of care are:

PAYMENT TERMS

Parent agrees to pay Provider the fees set forth below in consideration for childcare services provided under this Agreement.

Late payment: A late fee of will be charged for payments not received within days after the due date. Provider may suspend services for nonpayment after written notice.

TERM AND TERMINATION

This Agreement commences on and continues until , unless earlier terminated in accordance with this section.

Either party may terminate this Agreement without cause by providing days written notice to the other party. Provider may terminate immediately for cause, including but not limited to nonpayment, material breach, or conduct jeopardizing a child's safety.

CONFIDENTIALITY

Provider will maintain the confidentiality of the Child(ren)'s personal information, medical records, and family information disclosed in connection with services and will not disclose such information except as required by law or as necessary for the child's care. Parent consents to Provider sharing necessary information with emergency medical personnel and authorized staff.

EMERGENCY MEDICAL AUTHORIZATION

Parent hereby authorizes Provider to seek emergency medical treatment for the Child(ren) if Parent cannot be reached. Parent also authorizes the release of medical records to medical personnel for treatment purposes.

HEALTH, SAFETY AND IMMUNIZATION

Parent will notify Provider of any symptoms of communicable disease and will keep the Child(ren) home when ill in accordance with Provider's sickness policy. Parent represents that the Child(ren) has met applicable immunization requirements or has provided an authorized exemption.

LIABILITY AND INDEMNIFICATION

Provider will exercise reasonable care in the supervision and protection of Child(ren). Parent acknowledges and understands that unforeseen accidents can occur. To the fullest extent permitted by law, Parent agrees to indemnify and hold Provider harmless from claims, demands, or causes of action arising out of Parent's failure to disclose material information, the Child(ren)'s known behavioral health issues, or Parent's breach of this Agreement.

BACKGROUND CHECKS AND STAFF

Provider represents that it conducts background and reference checks for staff and complies with applicable screening requirements. Provider will notify Parent of any changes in staffing that materially affect services.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

ENTIRE AGREEMENT

This Agreement, including any attachments or written policies acknowledged by Parent, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, representations, or agreements, whether oral or written. Any amendment must be in writing and signed by both parties.

ADDITIONAL TERMS

Provider Printed Name:

By:

Date:

Parent / Guardian Printed Name:

By:

Date:

Enter text✕

What the Childcare Services Agreement Covers

A Childcare Services Agreement is a written contract between a childcare provider and a parent or guardian that formalizes care arrangements, fees, hours, and responsibilities. It typically identifies the child, lists services (regular care, meals, transportation, special programs), states payment and late-fee terms, sets immunization and emergency medical authorization, and defines termination rights. The agreement also allocates liability, clarifies required background checks for staff, and may include confidentiality, pick-up rules, and requirements to comply with applicable state childcare licensing laws.

Why a Written Agreement Matters for Childcare

A clear Childcare Services Agreement reduces misunderstandings, documents parental permissions and medical authorizations, and supports compliance with state licensing and safety rules. It creates predictable billing and termination procedures and provides evidence of agreed responsibilities if disputes arise.

Why a Written Agreement Matters for Childcare

Who Typically Uses This Agreement

The form is used by family child care providers, child-care centers, and parents or guardians to formalize enrollment and services.

  • Parents or guardians enrolling one or more children for regular or occasional care.
  • Licensed family daycare operators and childcare centers documenting services, fees, and policies.
  • Agencies or employers arranging subsidized or contracted childcare for employees.

Use this agreement whenever care, payment schedules, emergency authorizations, or pickup rules need to be recorded in writing for safety, licensing, or billing purposes.

Step-by-Step: Complete and Execute the Agreement

Follow these steps to prepare, review, and finalize a Childcare Services Agreement so it is clear and legally sound.

  • 01
    Prepare Parties: Enter full legal names and contact details for provider and parent.
  • 02
    Describe Services: Detail hours, activities, meals, and transportation responsibilities.
  • 03
    Set Fees: Specify rates, billing frequency, deposits, and late fees clearly.
  • 04
    Review & Sign: Have all parties sign and date; retain copies for records.

Essential Sections to Include in a Professional Agreement

A complete Childcare Services Agreement includes clear descriptions of services, financial terms, health and safety protocols, and dispute-resolution mechanisms to protect children, families, and providers.

Parties

Identify the provider and parent or guardian by full legal name, address, and primary contact numbers to avoid ambiguity about signatory authority and service obligations.

Scope of Services

Describe care type, daily schedule, meal provisions, nap/diapering responsibilities, and any additional services such as tutoring or transportation with specific hours.

Fees and Payment

Set regular fees, deposit and refund policies, late-payment charges, invoicing schedule, and accepted payment methods to minimize billing disputes.

Health & Safety

Include immunization or exemption requirements, sick-child policies, medication administration procedures, and emergency medical authorization language.

Liability and Insurance

Allocate responsibility for accidents, require proof of provider insurance where appropriate, and define indemnification and limitation of liability clauses.

Termination and Changes

Specify notice periods, grounds for immediate termination, and procedures for amending the agreement to ensure orderly transitions.

Required Information and Quick Field Checklist

Child Name: Full legal name
Date of Birth: MM/DD/YYYY format
Parent Contact: Phone and email
Emergency Contact: Alternate name and number
Medical Info: Allergies and meds
Insurance: Policy carrier and ID

Where the Agreement Goes and How It Is Used

Understand routing, storage, and who receives copies so responsibilities and emergency contacts are accessible when needed.

  • Provider Copy: Provider retains original signed agreement.
  • Parent Copy: Parent or guardian receives a signed copy immediately.
  • On-Site Access: Keep a physical or digital copy at care location.
  • Emergency Access: Ensure medical and pickup authorizations are readily available.

Customizing the Agreement for Online Completion

Configure online fields and signer authentication based on risk level and whether health data is included.

Field Configuration
Signature Authentication Email link or SMS code verification
Date Fields Use MM/DD/YYYY and auto-fill current date option
Conditional Sections Show medical fields only if yes selected
File Upload Enable for immunization records and IDs

Digital Signing and Technical Requirements

Choose an e-signature workflow that supports secure authentication and preserves a complete audit trail for enforcement and licensing review.

  • File Formats: PDF, DOCX supported
  • Integrations: Works with Google Workspace, Microsoft 365
  • Authentication: Email, SMS code, or stronger

For agreements containing medical details, ensure the platform can support HIPAA controls (BAA available) and provides secure storage and exportable audit trails for regulatory review.

Key Dates, Deadlines, and Renewal Expectations

Track effective dates, notice windows, and periodic reauthorizations to remain compliant and avoid last-minute disputes.

Effective Date:

Enter as MM/DD/YYYY when obligations begin

Enrollment Deadline:

Date by which fees or deposit are due

Background Check Renewal:

Renew staff checks per state rule or annually

Policy Review:

Review and update policies annually or as laws change

Termination Notice:

Notice period (e.g., 30 days) for ending services

Common Mistakes to Avoid When Preparing the Agreement

  • Using vague service descriptions that create differing expectations about hours, meals, or special care.
  • Failing to document medical authorizations or allergy protocols, which complicates emergency response and liability.
  • Not specifying payment schedules and late fees, which leads to billing disputes and cashflow issues.
  • Overlooking state licensing language or required disclosures that may be mandated by the childcare regulator.

Penalties and Legal Risks of an Incomplete or Incorrect Agreement

Licensing Violation: Fines or suspension
Civil Liability: Breach claims and damages
Regulatory Penalties: State enforcement actions
Insurance Denial: Coverage disputes on claims
Recordkeeping Failure: Penalties or audit issues
Contract Disputes: Costs of litigation or mediation

How Providers and Families Use the Agreement in Practice

Two real-world examples show how a clear agreement prevents disputes and supports licensing.

Family Daycare Enrollment

A home provider reduced late payments by clarifying fees and late charges

  • The agreement required a two-week deposit and 30 days' termination notice
  • As a result, billing disputes fell and recordkeeping supported routine licensing inspections.

School-Age Program

A before-and-after school program added emergency medical authorization and pickup rules

  • Parents listed authorized pickup contacts and allergy info
  • The program decreased pickup errors and improved emergency response coordination.

Practical Tips for Accurate and Efficient Completion

Follow these practical steps to reduce errors and speed processing of enrollment agreements.

Use Clear Dates
Always use MM/DD/YYYY for effective and termination dates to prevent ambiguity and disputes.
Standardize Names
Use full legal names and consistent formatting for all signers and emergency contacts.
Keep Medical Details Current
Require parents to update allergy or medication information immediately and document each change.
Store Copies Securely
Keep signed originals and encrypted digital copies with restricted access for compliance and emergencies.

Comparing eSignature Vendors for Childcare Agreements

Vendor pricing and feature differences affect authentication, HIPAA support, and bulk enrollment workflows; signNow is listed first for direct comparison.

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 trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions and Troubleshooting

Answers to common questions about enforceability, notarization, emergency permissions, and updating agreements.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users