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Child Care Terms and Management

Provider's Name  
Social Security Number  
For Care of (child's name)  


Salary/hourly rate  
Number of hours (per week)  
Rate of pay for overtime/additional hours  
Payment schedule  
Start date  
Date of first review  
Date of renewal review  
Date of raise  
New salary/hourly rate  
Health care coverage ($ per month)  
Dental care coverage ($ per month)  
Other benefits  

Additional Benefits

Paid holidays  
Total number of vacation days  
    - Paid  
    - Unpaid  
When vacation can be taken  
Family vacation policy  

Weekly Schedule

  Mon Tues Wed Thurs Fri Sat Sun

Specific Child Care Duties

Read with children
Art projects
Daily walk(s)
Outdoor play
Arrange play dates
Car pool/drive kids
Take kids to school/pickup
Give children a bath

Household Duties

Do laundry  
Straighten up kitchen  
Organize play area  
Straighten up kids' rooms  
Run errands  
Prepare meal(s)  

Car Information

If child care provider's car is used to transport children:

License plate number  
Driver's license number  
Insurance company  
Gas/parking reimbursement policy  


Featured Sites:

Cord Blood Registry
March of Dimes
Susan G. Komen

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