Child's Name (required)

Child's Date of Birth (mm/dd/yyyy)(required)

Child's Name (additional child)

Child's Date of Birth (mm/dd/yyyy)

Child's Name (additional child)

Child's Date of Birth (mm/dd/yyyy)

Part 1:  Contract Provisions provided by childcare facility:

The St. Edward on-the-Lake Preschool, as a licensed child care facility, will provide provisions of the Michigan Administrative Code as required by R 400.5105b:

R 400.5102 Licensee

Rule 102. (1) A licensee shall have the following administrative responsibilities regarding staff:
     (b) Develop and implement a written screening policy for all staff and volunteers, including parents, who have contact with children.

R 400.5106 Program

Rule 106. (1) A center shall provide a program of daily activities and relationships that offers opportunities for the developmental growth of each child in all of the following areas:

a) Physical development, including large and small muscle
b) Social development, including communication skills.
c) Emotional development, including positive self-concept.
d) Intellectual development.

2)   A center shall permit parents to visit the program for the purpose of observing their children at all times.
3) A center operating with children in attendance for 5 or more continuous hours per day shall provide for daily outdoor play, unless prevented by inclement weather conditions.
4) A center shall provide each child under school age in attendance for 5 or more continuous hours a day with an opportunity to rest.
5) A center shall provide children less than 3 years of age with an opportunity to rest regardless of the number of hours in care.
6: A center shall permit children under 12 months of age to eat and sleep on demand.

Part 2:  Additional Contract Provisions:

Upon signing this agreement, the parent, legal guardian or responsible adult and the child care facility agrees to abide by all of the provisions contained in this contract

In witness, whereof, the parties hereto have executed this contract as of the specified date:

Parent, Legal Guardian or Responsible Adult

Signature (required) - Type your name in the space below (required)

Title (required)(enter one of the following - Parent, Legal Guardian or Responsible Adult)

Contract will be signed by St. Edward on-the-Lake Preschool representative once this form has been submitted. You will receive a physical copy of the contract.

Your Email (required)(to receive confirmation email)

Electronic Form Submission:
Yes, I agree to use an electronic or typed signature and that any physical or electronic copy of this form can be used as if it were a physically-signed original and therefore considered legally binding. (required)