PARENT(S)/GUARDIAN SIGNATURE: *
Upon completing this form, $350.00 registration or chosen Membership invoice will be sent to parent and/or guardian. Please do not complete this form until you are prepared to pay the associated fee to begin services.
CHILD(S) INFORMATION
PARENT/GUARDIAN(S) INFORMATION
EMERGENCY CONTACTS & MEDICAL INFORMATION
This waiver applies only if neither parent/guardian can be reached in the case of an emergency.
GETTING TO KNOW YOUR CHILD/REN
Please Fill Out This Section For Your Child/ren Ages 0 to 18 Months. It Will Help Us Get To Know Your Child Better. Child/ren Name(s)
Check All That Apply.
Who
Please Fill Out This Section For Your Child/ren Ages 18 Months and Older.
Photo, Voice, Website, Facebook, and Video Permission Form Waiver and Release
I/we hereby consent to the use of the voice or the likeness in photographs, audio, or on videotape of my child/ren by AJ's Future Childcare Services, LLC in the production of business flyers, newsletters, websites, voice mail messages, videotapes, and any other advertisements or promotions AJ's Future Childcare Services, LLC may decide to develop, now or in the future. In addition, I/we hereby consent to the use of the voice or likeness in photographs or on videotape of my child/ren by AJ's Future Childcare Services, LLC to be posted on my Facebook page. [Note: this permission could be limited to one or a few photos, rather than this general permission.] I/we also hereby agree to waive and forgo any right or entitlement of claim I/we might have to any compensation, fees, or other benefits. Further, by signing this waiver and release, I/we certify that I/we am/are the legal parent or guardian of the child identified above.
PERMISSION TO TRANSPORT & TAKE FIELD TRIPS!
TERMS & AGREEMENT
***FINE PRINTS***
DEAR PARENTS
What we as a provider should expect from you, the parent:
Open communication. Explain clearly and carefully your wishes and expectations about how your child will be cared for. Also provide updates on problems and progress that your child is making. Good communication helps us work together in the best interest of your child.
Agreement on Terms or Arrangements. You should fully understand the terms of the contract and the policies and procedures that you as the parent are agreeing to. This contract agreement is intended for in-home childcare. Honesty and Trust-This includes being honest about how you believe the arrangement is working. Although you need to be vigilant to safeguard your child, you should trust your childcare provider to do the best for your child. Showing trust by asking questions rather than jumping to conclusions when apparent problems develop.
Respect-Your providers have personal lives too. Out of respect, please no trip to the grocery store etc. on your way just because you find it more convenient, ultimately the care of your child is your
IN-HOME SERVICES ( Babysitting and Nanny Services) We are happy to extend our babysitting and nanny services to: Atlantq, Dunwoody, Buckhead, Jonesboro, Riverdale, Sandy Spring, Marriette, Conyer, LIthonia, all metfro and surrounding areas, cities
Referrals AJ's Future Childcare Services, LLC will refer applicants (hereinafter referred to as Nanny ) to the Client, as
they become available for consideration as a full-time or part-time live in or out nanny or occasional babysitter. Applicants are screened prior to their referral to the Client only to the extent that they meet the Agency’s criteria for a qualified Nanny Applicant. Client agrees to screen and interview applicants carefully to determine whether they meet the Client’s criteria and can fulfill the Clients expectations for their position.
Offers of employment should not be made by Clients before carefully interviewing and screening applicants and getting authorization to do so by the agency.
Hiring
Clients have the option of paying for in-home childcare services through the agency or to the nanny directly. Full payment is due before the nanny begins work in the client’s home. The client agrees to pay the Agency and/or nanny the appropriate overtime fee in the event the nanny works more hours than originally contracted for pursuant to this agreement. Such additional fee does not apply to the client if said client contracted the nanny for 40 hours or more per week. The Client is responsible for speaking directly to a representative of the
Agency to inform the Agency that the nanny will work additional hours BEFORE that nanny works such additional hours. The Client also agrees and understands that if the nanny works fewer hours then the hours contracted pursuant to this Agreement, the Client will NOT receive a credit toward additional hours of work
by an applicant.
Fees
The Client agrees not to offer employment to any applicants referred by AJ's Future Childcare Services, LLC without first
obtaining authorization from AJ's Future Childcare Services, LLC directly. The Client understands that applicants are not
eligible to begin working for AJ's Future Childcare Services, LLC’s Client until the applicant’s criminal check have been
provided to AJ's Future Childcare Services, LLC and to the Client. CLIENTS AGREE TO OBTAIN
AUTHORIZATION FROM THE AGENCY BEFORE EXTENDING AN APPLICANT A JOB OFFER.
Clients also agree to notify the Agency of the date the applicant begins her first day in the Client’s employment
begins. All Services are quoted per hour and days requested. You are responsible to provide us your set
schedule for the week or in advance. Nannies and sitters are expected to adhere to schedules provided
therefore, additional time and services requested will be billed accordingly. All staff are directly employed
through the company and may not accept direct employment offers. All services must be booked through AJ's Future Childcare Services, LLC
agency. Use of any AJ's Future Childcare Services providers outside of the agency’s approval and/or
knowledge is considered, “theft of services” and will result in a charge of $5000 for liquidated damages.
Pay Schedule
Clients have the option of paying for in-home childcare services through the agency or to the nanny directly. Full payment is due before the nanny begins work in the client’s home. The client agrees to pay the Agency and/or nanny the appropriate overtime fee in the event the nanny works more hours than originally contracted for pursuant to this agreement. Such additional fee does not apply to the client if said client contracted the nanny for 40 hours or more per week. The Client is responsible for speaking directly to a representative of the
Agency to inform the Agency that the nanny will work additional hours BEFORE that nanny works such additional hours. The Client also agrees and understands that if the nanny works fewer hours then the hours contracted pursuant to this Agreement, the Client will NOT receive a credit toward additional hours of work by an applicant.
Refund and Guarantee Policies
A.) AJ's Future Childcare Services, LLC is a referral service. AJ's Future Childcare Services, LLC trains, employ, and exercise control,
authority and/or discretion over applicants referred to clients. B.) AJ' s Future Services, LLC disclaims any and all responsibility for any conduct or omissions of any
applicant, including any applicant hired by the client. The agency is not responsible for losses or damages
resulting directly or indirectly from its Clients relationship with any applicant or nanny. AJ's Future Childcare Services,
LLC carries State required employment insurance(s), may withhold applicable payroll taxes, and develops
employment relationships with its applicants and/or staff.
C.) Clients are responsible for making sure their nannies are aware of all rules they want to him/her to
follow as well as safety concerns and hazards.
D.) The Client, by signing this agreement, agrees to pay the appropriate referral fee and follow the
appropriate policies in the event the client hires any of the applicants referred by the Agency.
Relationship to Client and Nanny
Clients have the option of paying for in-home childcare services through the agency or to the nanny directly. Full payment is due before the nanny begins work in the client’s home. The client agrees to pay the Agency and/or nanny the appropriate overtime fee in the event the nanny works more hours than originally contracted for pursuant to this agreement. Such additional fee does not apply to the client if said client contracted the nanny for 40 hours or more per week. The Client is responsible for speaking directly to a representative of the
Agency to inform the Agency that the nanny will work additional hours BEFORE that nanny works such additional hours. The Client also agrees and understands that if the nanny works fewer hours then the hours contracted pursuant to this Agreement, the Client will NOT receive a credit toward additional hours of work
by an applicant.
Other Agreements
Clients have the option of paying for in-home childcare services through the agency or to the nanny directly. Full payment is due before the nanny begins work in the client’s home. The client agrees to pay the Agency and/or nanny the appropriate overtime fee in the event the nanny works more hours than originally contracted for pursuant to this agreement. Such additional fee does not apply to the client if said client contracted the nanny for 40 hours or more per week. The Client is responsible for speaking directly to a representative of the
Agency to inform the Agency that the nanny will work additional hours BEFORE that nanny works such additional hours. The Client also agrees and understands that if the nanny works fewer hours then the hours contracted pursuant to this Agreement, the Client will NOT receive a credit toward additional hours of work
by an applicant.
By providing your signature(s) you agree to the terms and conditions of this company and agree to abide by them completely. Failure to do so may result in termination of services. I understand that by submitting this form, registration invoice will be sent to parent and/or guardian to begin services. I have fully read and understand this agreement.