Youth Services Agreement

YOUTH SERVICES AGREEMENT

This Youth Services Agreement (Agreement) is entered into as of Effective Date: by and between Provider Name: (Provider) and Parent/Guardian Name: (Parent/Guardian) on behalf of Youth Name: Date of Birth: .

RECITALS

WHEREAS, Provider is duly engaged in providing educational, recreational, therapeutic, and/or mentoring services for minors and represents that it has the personnel, facilities, and licenses necessary to provide such services in a lawful manner; and

WHEREAS, Parent/Guardian seeks to enroll Youth in the programs and services offered by Provider subject to the terms and conditions set forth in this Agreement; and

WHEREAS, the parties desire to set forth their respective rights, duties, and obligations with respect to the provision of those services.

SCOPE OF WORK

Provider will deliver youth services as described below. Provider shall exercise professional skill and care customary in the industry and shall ensure staff meet applicable screening and supervision requirements.

PAYMENT TERMS

Parent/Guardian agrees to pay Provider for the services described in the Scope of Work in accordance with the following terms.

TERM AND TERMINATION

This Agreement commences on Start Date: and continues until End Date: unless earlier terminated in accordance with this section.

Either party may terminate this Agreement for material breach by the other party that remains uncured after the notice period set forth above. Provider may terminate immediately for any serious safety or regulatory compliance concern. Termination does not relieve Parent/Guardian of obligations to pay for services performed prior to termination.

CONFIDENTIALITY

Provider and Parent/Guardian shall maintain the confidentiality of records and personal information concerning Youth and family. Provider may disclose confidential information only as required by law, as necessary for treatment and care, or with prior written consent of Parent/Guardian. Provider will store records securely and limit access to authorized personnel.

INSURANCE, LIABILITY AND INDEMNITY

Provider shall maintain general liability and professional liability insurance appropriate to the services provided. To the extent permitted by law, Parent/Guardian agrees to indemnify and hold harmless Provider and its officers, employees, and agents from claims arising out of Parent/Guardian's failure to disclose pertinent medical or behavioral information, or from acts of Youth that are not reasonably foreseeable. Provider's liability for any claim arising under this Agreement is limited to direct damages up to the total fees paid by Parent/Guardian under this Agreement for the twelve months preceding the claim.

BACKGROUND CHECKS & STAFFING

Provider represents that staff and volunteers assigned to Youth have been subject to background checks and screening consistent with applicable law and industry standards. Parent/Guardian consents to Provider conducting or verifying background checks for staff and volunteers as required.

I consent to Provider's background checks of staff and volunteers related to services provided to Youth.

EMERGENCY MEDICAL AUTHORIZATION

Parent/Guardian authorizes Provider to obtain emergency medical treatment for Youth when necessary and to take reasonable steps to notify Parent/Guardian. Parent/Guardian shall promptly inform Provider of any medical conditions, medications, or allergies that may affect Youth's participation.

MANDATORY REPORTING AND SAFETY

Provider is required by law to report suspected child abuse, neglect, or other concerns to the appropriate authorities. Provider will follow applicable safety procedures, including supervision ratios and incident reporting. Parent/Guardian will immediately notify Provider of any safety concerns, custody restrictions, or restraining orders affecting Youth.

GOVERNING LAW; DISPUTE RESOLUTION

This Agreement shall be governed by and construed in accordance with the laws of the State of . The parties shall first attempt to resolve disputes through good-faith negotiation. If unresolved, disputes shall be submitted to mediation; if mediation fails, disputes may be resolved in the courts of the governing state.

ENTIRE AGREEMENT

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

ACKNOWLEDGMENT

By signing below, Parent/Guardian and Provider acknowledge that they have read, understand, and agree to the terms set forth in this Agreement, including the Scope of Work, Payment Terms, Term and Termination, Confidentiality, and emergency authorization provisions.

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