The Waterford Youth Council, Inc.
SACC 2009-2010 Before and After School Program
Program Director: Amy Church
Phone: (518) 238-2562
The Waterford Youth Council’s School-Age Child Care Program provides morning
and afternoon care for your school-age child 5-12 years of age. Morning
care is from 7-8:30a.m. Afternoon care
is from 3-5:30p.m.
Our program offers care in a safe and fun atmosphere that benefits each child's
life through positive play and socialization with others, increased self
assurance and respect, along with crafts and daily activities, and study time.
The SACCP offers care for holidays and vacation days from (in accordance w/ the
Waterford School calendar).
For information regarding enrollment please contact Amy Church, School-Age Child
Care Program at (518) 238-2562.
_________________________________________________________________________________________________________
The Waterford Youth Council, Inc.
School Age Child Care Parent Fee Agreement
Child’s Name _________________________________________________
Program ___________________________________AM____PM________
Start Date ___________________________________________________
Registration Fee______________________________Date Paid_________
Advance Payment____________________________Date Paid__________
Based on the services that I have selected my parent fee is $___________per week.
The Payment schedule that I prefer is:
_____Weekly Payments _____Monthly Payments
I understand that my initial payment must reflect the above chosen payment schedule.
On days in which there is no school or school is not scheduled or on days in which the children are dismissed early, I understand that an “add-on” fee will be applied to my weekly parent fee in the amount of $5.00 per day, per child. Fees MUST be paid in advance of service.
(Example- winter recess, your fee per day will be $10.00 + $5.00 should you pre- register your child for that week off).
*I also am aware that if I enroll my child in a full or half day of care and do not attend that I am still responsible for payment of the days enrolled (including families receiving daycare subsidies).
Individuals who may receive information regarding my financial account:
_______________________________________________
_______________________________________________
Is this a joint account ____Yes ____No
If yes please list other party responsible for payments________________________________________
Signature_________________________________________________Date________________________
_________________________________________________________________________________________________________
The Waterford Youth Council, Inc.
School Age Child Care Parent Fee Agreement
I_________________________consent to the enrollment of my child/ children in the SACC Program. I have been advised of the policies and procedures of the program and given the School Age Parent Rules, Policies, and Regulations. I am aware of the scheduled holidays, closings (in accordance with the Waterford School District calendar) and the cut off time for arrivals and departures.
Based on the services that I have selected on page 1 the “Initial Payment” line reflects a non-refundable registration fee, and one week payment (one week payment reflecting the chosen payment schedule) that you paid to enroll your child/ children.
I do hereby agree to notify The Waterford Youth Council School Age Child Care program in writing two weeks in advance of withdrawing my child/ children from the program.
I am also aware that:
· All parent fees are due in advance of service.
· Upon enrollment all families are required to pay a non-refundable registration fee of $10.00
· Families MUST choose a payment schedule of weekly or monthly.
· If parent fees are not received within 5 business days that childcare slot will no longer be held.
· Payments MUST be received by the Friday before the next billing week.
· Checks/ money orders should be written to the “Waterford Youth Council, Inc.” and please include the child’s full name and program in the memo of the check. There is a $30.00 fee for all returned checks. We reserve the right to request cash or money order payment after the first returned check. If the parent fee is not paid by Friday, a phone call will be made to you on Monday reminding you that a payment MUST be made.
· If no payment is received by 12noon Tuesday, you will receive a letter stating that you MUST have two weeks paid by that Friday.
· If the two week payment is not received by that Friday, your child/ children will be terminated from the program(s) effective that Friday, your outstanding balance and your account will be reviewed by our accounting office.
· The Waterford Youth Council, Inc. will review accounts that are delinquent. Unpaid accounts may be turned over to a collection agency if not settled within 30 days of termination and may also be subject to small claims court.
· The Waterford Youth Council, Inc. will take into account family hardships made known to the Program Director, and will make payment arrangements at such time (Documentation of hardship MUST be supplied to the Program Director to qualify).
I,________________________________have been apprised of the parent fees and parent fee policies.
Parent Signature___________________________________________Date________________________
SACC Program Director______________________________________Date________________________
________________________________________________________________________________________________________________________
The Waterford Youth Council, Inc.
School Age Child Care Parent Fee Agreement
Child’s Name _________________________________________________
Program ___________________________________AM____PM________
Start Date ___________________________________________________
Registration Fee______________________________Date Paid_________
Advance Payment____________________________Date Paid__________
Based on the services that I have selected my parent fee is $___________per week.
The Payment schedule that I prefer is:
_____Weekly Payments _____Monthly Payments
I understand that my initial payment must reflect the above chosen payment schedule.
On days in which there is no school or school is not scheduled or on days in which the children are dismissed early, I understand that an “add-on” fee will be applied to my weekly parent fee in the amount of $5.00 per day, per child. Fees MUST be paid in advance of service.
(Example- winter recess, your fee per day will be $10.00 + $5.00 should you pre- register your child for that week off).
*I also am aware that if I enroll my child in a full or half day of care and do not attend that I am still responsible for payment of the days enrolled (including families receiving daycare subsidies).
________________________________________________________________________________________________________________________
The Waterford Youth Council, Inc.
SACC 2009-2010 Before and After School Program
Program Director: Amy Church
Phone: (518) 238-2562
The Waterford Youth Council’s School-Age Child Care Program provides morning
and afternoon care for your school-age child 5-12 years of age. Morning
care is from 7-8:30a.m. Afternoon care
is from 3-5:30p.m.
Our program offers care in a safe and fun atmosphere that benefits each child's
life through positive play and socialization with others, increased self
assurance and respect, along with crafts and daily activities, and study time.
The SACCP offers care for holidays and vacation days from (in accordance w/ the
Waterford School calendar).
For information regarding enrollment please contact Amy Church, School-Age Child
Care Program at (518) 238-2562.