Childminding Agreement

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The option "England" should be selected if the childminder lives and will provide the services in England. The option "Wales" should be selected if the childminder lives and will provide the services in Wales. The option "Scotland" should be selected if the childminder lives and will provide the services in Scotland. The option "Northern Ireland" should be selected if the childminder lives and will provide the services in Northern Ireland.



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CHILDMINDING SERVICES OF: ________

TERMS AND CONDITIONS

Please find below my terms and conditions for the provision of childminding services. Please read the terms and conditions carefully before the childminding services commence. If you have any questions about this document, please let me know.

Please keep a copy of this document safe for future reference.

I am ________ and I will be providing the Services under this Agreement.

MY CONTACT DETAILS

If you have any questions or need to communicate with me about this Agreement, I can be contacted as follows:

Trading address:

________

Telephone: ________

Email: ________


(1). TERMINOLOGY

(1.1). These terms and conditions will constitute a contractual agreement. I will refer to the terms and conditions in the document (and the attached schedules) as the Agreement.

(1.2). I (________) am the first party to this Agreement. I will refer to myself as 'I', 'me' or 'my' throughout the Agreement.

(1.3). You are the other party to the Agreement. Reference to 'you' or 'your' will therefore mean any parent or guardian who is purchasing the Services.

(1.4). The Agreement relates to childminding services and the word 'Children' will mean any child or children specified by you in the Parent/Guardian Information Form (who will be the subject of the Services).

(1.5). The Services shall mean the childminding services provided by me in accordance with this Agreement (as defined in Section 2).


(2). THE SERVICES

(2.1). The Services which I will perform in accordance with this Agreement will include:

(a). supervising and caring for the Children;

(b). providing appropriate meals and other food to the Children as required and in compliance with any special requirements specified by you on the Parent/Guardian Information Form;

(c). transporting the Children to school, nursery and other clubs as required;

(d). transporting the Children to any extra-curricular activities or social activities as required; and

(e). taking the Children on excursions in the local community such as parks, play areas and educational locations;

(2.2). The Services shall ordinarily (save for the other circumstances listed above) be provided at my address:

________

(2.3). Pick-up and drop-off of the Children will ordinarily take place at my address unless we expressly agree in writing otherwise.


3. PROVISION OF THE SERVICES

(3.1). You must provide me with the following documents before I can provide the Services to you:

(a). A completed copy of the Parent/Guardian Information Form (attached); and

(b). A signed and completed copy of the Consent Form (attached).

(3.2). I will perform the Services for you on the dates and times agreed between us, in accordance with my available working times which are generally:

________

(3.3). You will specify on the Parent/Guardian Information Form which times and dates you wish to instruct me to carry out the Services in accordance with the above times.

(3.4). I will then provide you with written confirmation should those dates and times be accepted. I may contact you to say that I cannot accept your request, for example where I do not have availability.

(3.5). Once you receive my written acceptance, the Agreement will commence and will be in force (the Start Day).

(3.6). I may only commence the provision of the Services after any applicable Cancellation Period has elapsed, save in the circumstances outlined in Section 4 below.

(3.7). You may have selected an end date for the Services on Parent/Guardian Information Form. Alternatively, where you have instructed me to carry out the Services on a long-term basis, the Agreement can be terminated in accordance with the relevant section below.

(3.8). If you would like to change your chosen days and times, you should provide me with a minimum amount of ________ calendar days' notice. If you do not provide the correct notice you must pay for the Services.

(3.9). There may be times when I will not be able to provide the agreed Services for reasons beyond my control (for example where I am unwell or in the case of an emergency). In these circumstances, I will provide as much notice as is reasonably practicable. We can agree and arrange for an alternative childminder to conduct the services if this is possible.


4. YOUR RIGHT TO CANCEL

(4.1). If you are required to pay more than £42 in accordance with this Agreement, you can cancel the Agreement within 14 calendar days of the Start Day without giving any reason (the Cancellation Period).

(4.2). The Cancellation Period will expire 14 calendar days from the Start Day.

(4.3). I will not provide any of the Services during the Cancellation Period unless you explicitly request that I do so in writing. If you do request that I perform the Services in the Cancellation Period, you will lose the right to cancel once the Services are fully performed.

(4.4). To exercise the right to cancel, you must inform me of your decision to cancel the Agreement by a clear statement (e.g a letter sent by post or email). You can use the attached example Cancellation Form (but it is not obligatory).

(4.5). To meet the cancellation deadline, it is sufficient for you to send your communication concerning your exercise of the right to cancel before the Cancellation Period has expired.

(4.6). If you cancel this Agreement during the Cancellation Period, I will reimburse you for any payments received from you.

(4.7). I will make the reimbursement without undue delay and not later than 14 calendar days after the day on which you informed me about your decision to cancel the Agreement.

(4.8). I will make the reimbursement using the same means of payment as you used for the initial transaction unless you have expressly agreed otherwise; in any event, you will not incur any fees as a result of the reimbursement.


(5). REGULATION AND QUALIFICATIONS

(5.1). I am registered as a childcare provider with Ofsted. Please find attached to this agreement my Ofsted Registration Certificate.

(5.2). I hold a Disclosure and Barring Service (DBS) certificate. A copy of my DBS Certificate is attached to this agreement.


(6). STANDARD OF THE SERVICES

(6.1). I will conduct the Services on the days and times that we have agreed.

(6.2). I will conduct the Services to the standards with reasonable care and skill.

(6.3). I will ensure that the Services are conducted in accordance with the requirements of a registered childminder.

(6.4). In the event that you are dissatisfied with the Services in any way, please do not hesitate to discuss this with me using the contact details listed above. My Complaints Policy is attached.

(6.5). If we do not manage to resolve matters informally, you can raise a complaint with Ofsted.


(7). YOUR RESPONSIBILITIES AND CONSENT

(7.1). You must ensure that you fill out the Parent/Guardian Information Form accurately with all the relevant information.

(7.2). You must ensure that you fill out the Consent Form accurately with all the relevant information.

(7.3). You must ensure that you drop the Children off at the agreed start time for each childminding session.

(7.4). You must ensure that you collect the Children at the agreed collection time at the conclusion of each childminding session.

(7.5). You must ensure that you drop the Children off with all suitable clothing, equipment and items that they will require during each childminding session.

(7.6). You must ensure that any medication, lotions, creams and food provided to me are properly labelled with the correct name and with any relevant instructions.

(7.7). In signing this Agreement, you consent to the nature of the Services as described in this Agreement and all of the other terms and conditions.


(8). COSTS AND PAYMENT

(8.1). The costs for the provision of the Services are set out in the attached Cost Information Sheet.

(8.2). I am not VAT registered.

(8.3). Payment for the Services should be made in advance.

(8.4). Payments must be made before each individual childminding session.

(8.5). I will issue an invoice to you requesting payment in accordance with the above schedule. Once you receive the invoice the amount will be due and payable. The invoice will be provided to you: ________

(8.6). You can make payment to me via the following payment methods: ________.

(8.7). In the event that any payment becomes overdue by more than 5 calendar days, I may cancel your future bookings for the Services.

(8.8). I may increase my costs from time to time. I will notify you of any changes to my costs and these will apply to any new bookings made after the relevant increase.

(8.9). There may be times that I request additional sums from you to cover expenses that are incurred by me for activities I undertake with the children. This money should be handed over to me during the drop-off of the Children on the relevant day. I will keep a record of this.


(9). TERMINATION

(9.1). If you would like to terminate this Agreement after the Cancellation Period (or from the Start Day where no Cancellation Period applies), the Agreement can be terminated at any time by either of us providing ________ calendar days' notice to the other.

(9.2). If you have made your advance payment for services after the date of termination, I will reimburse you for those services.

(9.3). If there are any outstanding costs outstanding for the services I have provided prior to termination, you must pay those costs.


(10). YOUR PERSONAL INFORMATION

(10.1). In order to provide the Services to you, I will need to process your personal information, the personal information of any other emergency contacts, and the personal information of the Children.

(10.2). I will only process personal information in accordance with my privacy and data protection policies which is attached under the heading Data Protection Information.


(11). LIABILITY AND INSURANCE

(11.1). I hold a public indemnity insurance policy. I can provide you with details of this upon request.

(11.2). I will compensate you and/or the Children for any losses or damage should I fail to conduct my duties in accordance with all legal requirements and legal standards provided that such loss or damage was reasonably foreseeable in the circumstances.

(11.3). I will not compensate you and/or the Children if such loss or damage was your fault, the Children's fault or the fault of any other third party.


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(14). SIGNATURES

(14.1). My signature

SIGNED:

__________________________________

NAME:

________


DATED:

__________________________________



(14.2). Your signature

SIGNED:

__________________________________

NAME (PRINT):

__________________________________


DATED:

__________________________________

PARENT/GUARDIAN INFORMATION FORM


THE CHILDREN

FULL NAME AND DATE OF BIRTH FOR EACH CHILD:

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

RELEVANT MEDICAL INFORMATION FOR EACH CHILD:

(including health conditions, medications and allergies)

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

RELEVANT DIETARY REQUIREMENTS FOR EACH CHILD:

(including allergies and dietary restrictions and any

feeding schedules etc.)

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________


PARENTAL RESPONSIBILITY -
PERSON 1

YOUR FULL NAME:

___________________________________________________

YOUR FULL ADDRESS:

___________________________________________________

___________________________________________________

___________________________________________________

YOUR CONTACT NUMBER:

___________________________________________________

YOUR RELATIONSHIP TO THE CHILD/REN:

___________________________________________________


PARENTAL RESPONSIBILITY - PERSON 2

FULL NAME:

___________________________________________________

FULL ADDRESS:

___________________________________________________

___________________________________________________

___________________________________________________

CONTACT NUMBER:

___________________________________________________

RELATIONSHIP TO THE CHILD/REN:

___________________________________________________


EMERGENCY CONTACT

ALTERNATIVE EMERGENCY CONTACT NAME:

___________________________________________________

ALTERNATIVE EMERGENCY CONTACT NUMBER:

___________________________________________________

THEIR RELATIONSHIP TO THE CHILD/REN:

___________________________________________________

NAMES OF ANY OTHER PEOPLE WHO MAY COLLECT

THE CHILD/REN:

___________________________________________________

___________________________________________________

___________________________________________________


THE SERVICES

DESIRED START DATE FOR THE SERVICES:

___________________________________________________


BASIS ON WHICH THE SERVICES ARE REQUIRED:

(Please state whether you require the services on a

long-term basis or for a specific time period)

___________________________________________________

___________________________________________________

___________________________________________________


DAYS AND TIMES THAT YOU WILL REQUIRE THE
SERVICES:

DAY PICK-UP TIME DROP-OFF TIME
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY

CONSENT FORM

I ________________________ (PERSON 1 WITH PARENTAL RESPONSIBILITY) of ____________________________ (ADDRESS)

AND

I ________________________ (PERSON 2 WITH PARENTAL RESPONSIBILITY) of ____________________________ (ADDRESS)

give my consent in respect of

CHILD/REN NAME/S AND DOB:

______________________________________

______________________________________

______________________________________

(a). to receive any medical treatment which is necessary in an emergency whilst they are in the care of ________. This consent only applies and may only be used in circumstances where neither person with Parental Responsibility (as listed above) can be contacted.

(b). for ________ to administer to child/ren any medication which has been provided by me.

(c). for ________ to apply to the child/ren any creams (such as sunscreens and other topical lotions) which have been provided by me.


SIGNED:

PERSON 1 WITH PARENTAL RESPONSIBILITY

NAME:

____________________________________________

SIGNATURE:

____________________________________________

RELATIONSHIP TO CHILD/REN

____________________________________________


PERSON 2 WITH PARENTAL RESPONSIBILITY

NAME:

____________________________________________

SIGNATURE:

____________________________________________

RELATIONSHIP TO CHILD/REN

____________________________________________

REGISTRATION CERTIFICATE

A copy of my Ofsted Registration Certificate is attached below.

DBS CERTIFICATE

A copy of my DBS Certificate is attached below.

COST INFORMATION SHEET

My costs for the Services are set out below.

DATA PROTECTION INFORMATION

My privacy policy is contained below.

COMPLAINTS POLICY

My complaints policy is attached below.

CANCELLATION FORM

TO: ________

OF: ________

EMAIL: ________

I hereby give notice that I cancel my contract for the supply of the childminding services which I ordered on ____________________________ (REQUEST DATE) and which you agreed to supply on ____________________(START DATE).

MY NAME:

_____________________________

MY ADDRESS:

_____________________________

DATE:

___________________________

Preview your document

CHILDMINDING SERVICES OF: ________

TERMS AND CONDITIONS

Please find below my terms and conditions for the provision of childminding services. Please read the terms and conditions carefully before the childminding services commence. If you have any questions about this document, please let me know.

Please keep a copy of this document safe for future reference.

I am ________ and I will be providing the Services under this Agreement.

MY CONTACT DETAILS

If you have any questions or need to communicate with me about this Agreement, I can be contacted as follows:

Trading address:

________

Telephone: ________

Email: ________


(1). TERMINOLOGY

(1.1). These terms and conditions will constitute a contractual agreement. I will refer to the terms and conditions in the document (and the attached schedules) as the Agreement.

(1.2). I (________) am the first party to this Agreement. I will refer to myself as 'I', 'me' or 'my' throughout the Agreement.

(1.3). You are the other party to the Agreement. Reference to 'you' or 'your' will therefore mean any parent or guardian who is purchasing the Services.

(1.4). The Agreement relates to childminding services and the word 'Children' will mean any child or children specified by you in the Parent/Guardian Information Form (who will be the subject of the Services).

(1.5). The Services shall mean the childminding services provided by me in accordance with this Agreement (as defined in Section 2).


(2). THE SERVICES

(2.1). The Services which I will perform in accordance with this Agreement will include:

(a). supervising and caring for the Children;

(b). providing appropriate meals and other food to the Children as required and in compliance with any special requirements specified by you on the Parent/Guardian Information Form;

(c). transporting the Children to school, nursery and other clubs as required;

(d). transporting the Children to any extra-curricular activities or social activities as required; and

(e). taking the Children on excursions in the local community such as parks, play areas and educational locations;

(2.2). The Services shall ordinarily (save for the other circumstances listed above) be provided at my address:

________

(2.3). Pick-up and drop-off of the Children will ordinarily take place at my address unless we expressly agree in writing otherwise.


3. PROVISION OF THE SERVICES

(3.1). You must provide me with the following documents before I can provide the Services to you:

(a). A completed copy of the Parent/Guardian Information Form (attached); and

(b). A signed and completed copy of the Consent Form (attached).

(3.2). I will perform the Services for you on the dates and times agreed between us, in accordance with my available working times which are generally:

________

(3.3). You will specify on the Parent/Guardian Information Form which times and dates you wish to instruct me to carry out the Services in accordance with the above times.

(3.4). I will then provide you with written confirmation should those dates and times be accepted. I may contact you to say that I cannot accept your request, for example where I do not have availability.

(3.5). Once you receive my written acceptance, the Agreement will commence and will be in force (the Start Day).

(3.6). I may only commence the provision of the Services after any applicable Cancellation Period has elapsed, save in the circumstances outlined in Section 4 below.

(3.7). You may have selected an end date for the Services on Parent/Guardian Information Form. Alternatively, where you have instructed me to carry out the Services on a long-term basis, the Agreement can be terminated in accordance with the relevant section below.

(3.8). If you would like to change your chosen days and times, you should provide me with a minimum amount of ________ calendar days' notice. If you do not provide the correct notice you must pay for the Services.

(3.9). There may be times when I will not be able to provide the agreed Services for reasons beyond my control (for example where I am unwell or in the case of an emergency). In these circumstances, I will provide as much notice as is reasonably practicable. We can agree and arrange for an alternative childminder to conduct the services if this is possible.


4. YOUR RIGHT TO CANCEL

(4.1). If you are required to pay more than £42 in accordance with this Agreement, you can cancel the Agreement within 14 calendar days of the Start Day without giving any reason (the Cancellation Period).

(4.2). The Cancellation Period will expire 14 calendar days from the Start Day.

(4.3). I will not provide any of the Services during the Cancellation Period unless you explicitly request that I do so in writing. If you do request that I perform the Services in the Cancellation Period, you will lose the right to cancel once the Services are fully performed.

(4.4). To exercise the right to cancel, you must inform me of your decision to cancel the Agreement by a clear statement (e.g a letter sent by post or email). You can use the attached example Cancellation Form (but it is not obligatory).

(4.5). To meet the cancellation deadline, it is sufficient for you to send your communication concerning your exercise of the right to cancel before the Cancellation Period has expired.

(4.6). If you cancel this Agreement during the Cancellation Period, I will reimburse you for any payments received from you.

(4.7). I will make the reimbursement without undue delay and not later than 14 calendar days after the day on which you informed me about your decision to cancel the Agreement.

(4.8). I will make the reimbursement using the same means of payment as you used for the initial transaction unless you have expressly agreed otherwise; in any event, you will not incur any fees as a result of the reimbursement.


(5). REGULATION AND QUALIFICATIONS

(5.1). I am registered as a childcare provider with Ofsted. Please find attached to this agreement my Ofsted Registration Certificate.

(5.2). I hold a Disclosure and Barring Service (DBS) certificate. A copy of my DBS Certificate is attached to this agreement.


(6). STANDARD OF THE SERVICES

(6.1). I will conduct the Services on the days and times that we have agreed.

(6.2). I will conduct the Services to the standards with reasonable care and skill.

(6.3). I will ensure that the Services are conducted in accordance with the requirements of a registered childminder.

(6.4). In the event that you are dissatisfied with the Services in any way, please do not hesitate to discuss this with me using the contact details listed above. My Complaints Policy is attached.

(6.5). If we do not manage to resolve matters informally, you can raise a complaint with Ofsted.


(7). YOUR RESPONSIBILITIES AND CONSENT

(7.1). You must ensure that you fill out the Parent/Guardian Information Form accurately with all the relevant information.

(7.2). You must ensure that you fill out the Consent Form accurately with all the relevant information.

(7.3). You must ensure that you drop the Children off at the agreed start time for each childminding session.

(7.4). You must ensure that you collect the Children at the agreed collection time at the conclusion of each childminding session.

(7.5). You must ensure that you drop the Children off with all suitable clothing, equipment and items that they will require during each childminding session.

(7.6). You must ensure that any medication, lotions, creams and food provided to me are properly labelled with the correct name and with any relevant instructions.

(7.7). In signing this Agreement, you consent to the nature of the Services as described in this Agreement and all of the other terms and conditions.


(8). COSTS AND PAYMENT

(8.1). The costs for the provision of the Services are set out in the attached Cost Information Sheet.

(8.2). I am not VAT registered.

(8.3). Payment for the Services should be made in advance.

(8.4). Payments must be made before each individual childminding session.

(8.5). I will issue an invoice to you requesting payment in accordance with the above schedule. Once you receive the invoice the amount will be due and payable. The invoice will be provided to you: ________

(8.6). You can make payment to me via the following payment methods: ________.

(8.7). In the event that any payment becomes overdue by more than 5 calendar days, I may cancel your future bookings for the Services.

(8.8). I may increase my costs from time to time. I will notify you of any changes to my costs and these will apply to any new bookings made after the relevant increase.

(8.9). There may be times that I request additional sums from you to cover expenses that are incurred by me for activities I undertake with the children. This money should be handed over to me during the drop-off of the Children on the relevant day. I will keep a record of this.


(9). TERMINATION

(9.1). If you would like to terminate this Agreement after the Cancellation Period (or from the Start Day where no Cancellation Period applies), the Agreement can be terminated at any time by either of us providing ________ calendar days' notice to the other.

(9.2). If you have made your advance payment for services after the date of termination, I will reimburse you for those services.

(9.3). If there are any outstanding costs outstanding for the services I have provided prior to termination, you must pay those costs.


(10). YOUR PERSONAL INFORMATION

(10.1). In order to provide the Services to you, I will need to process your personal information, the personal information of any other emergency contacts, and the personal information of the Children.

(10.2). I will only process personal information in accordance with my privacy and data protection policies which is attached under the heading Data Protection Information.


(11). LIABILITY AND INSURANCE

(11.1). I hold a public indemnity insurance policy. I can provide you with details of this upon request.

(11.2). I will compensate you and/or the Children for any losses or damage should I fail to conduct my duties in accordance with all legal requirements and legal standards provided that such loss or damage was reasonably foreseeable in the circumstances.

(11.3). I will not compensate you and/or the Children if such loss or damage was your fault, the Children's fault or the fault of any other third party.


(12). 285588582 282 888 858558585588

(12.1). 552 8588 22 5228525 525 25828 52282 22 2588 825222222. 822 58825228 82 52852822 22 2588 825222222 85588 82 8582282 22 252 258858882 255885882822 22 5228525 525 25828.


(13). 58588-28858 852855

(13.1). 82 222 22525 2552 5 25522 22 2588 825222222 558 522 58252 22 2222582 5 2252 22 2588 82225582 25 85822 25282258228 82 52852822 22 82.


(14). SIGNATURES

(14.1). My signature

SIGNED:

__________________________________

NAME:

________


DATED:

__________________________________



(14.2). Your signature

SIGNED:

__________________________________

NAME (PRINT):

__________________________________


DATED:

__________________________________

PARENT/GUARDIAN INFORMATION FORM


THE CHILDREN

FULL NAME AND DATE OF BIRTH FOR EACH CHILD:

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

RELEVANT MEDICAL INFORMATION FOR EACH CHILD:

(including health conditions, medications and allergies)

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

RELEVANT DIETARY REQUIREMENTS FOR EACH CHILD:

(including allergies and dietary restrictions and any

feeding schedules etc.)

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________

___________________________________________________


PARENTAL RESPONSIBILITY -
PERSON 1

YOUR FULL NAME:

___________________________________________________

YOUR FULL ADDRESS:

___________________________________________________

___________________________________________________

___________________________________________________

YOUR CONTACT NUMBER:

___________________________________________________

YOUR RELATIONSHIP TO THE CHILD/REN:

___________________________________________________


PARENTAL RESPONSIBILITY - PERSON 2

FULL NAME:

___________________________________________________

FULL ADDRESS:

___________________________________________________

___________________________________________________

___________________________________________________

CONTACT NUMBER:

___________________________________________________

RELATIONSHIP TO THE CHILD/REN:

___________________________________________________


EMERGENCY CONTACT

ALTERNATIVE EMERGENCY CONTACT NAME:

___________________________________________________

ALTERNATIVE EMERGENCY CONTACT NUMBER:

___________________________________________________

THEIR RELATIONSHIP TO THE CHILD/REN:

___________________________________________________

NAMES OF ANY OTHER PEOPLE WHO MAY COLLECT

THE CHILD/REN:

___________________________________________________

___________________________________________________

___________________________________________________


THE SERVICES

DESIRED START DATE FOR THE SERVICES:

___________________________________________________


BASIS ON WHICH THE SERVICES ARE REQUIRED:

(Please state whether you require the services on a

long-term basis or for a specific time period)

___________________________________________________

___________________________________________________

___________________________________________________


DAYS AND TIMES THAT YOU WILL REQUIRE THE
SERVICES:

DAY PICK-UP TIME DROP-OFF TIME
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY

CONSENT FORM

I ________________________ (PERSON 1 WITH PARENTAL RESPONSIBILITY) of ____________________________ (ADDRESS)

AND

I ________________________ (PERSON 2 WITH PARENTAL RESPONSIBILITY) of ____________________________ (ADDRESS)

give my consent in respect of

CHILD/REN NAME/S AND DOB:

______________________________________

______________________________________

______________________________________

(a). to receive any medical treatment which is necessary in an emergency whilst they are in the care of ________. This consent only applies and may only be used in circumstances where neither person with Parental Responsibility (as listed above) can be contacted.

(b). for ________ to administer to child/ren any medication which has been provided by me.

(c). for ________ to apply to the child/ren any creams (such as sunscreens and other topical lotions) which have been provided by me.


SIGNED:

PERSON 1 WITH PARENTAL RESPONSIBILITY

NAME:

____________________________________________

SIGNATURE:

____________________________________________

RELATIONSHIP TO CHILD/REN

____________________________________________


PERSON 2 WITH PARENTAL RESPONSIBILITY

NAME:

____________________________________________

SIGNATURE:

____________________________________________

RELATIONSHIP TO CHILD/REN

____________________________________________

REGISTRATION CERTIFICATE

A copy of my Ofsted Registration Certificate is attached below.

DBS CERTIFICATE

A copy of my DBS Certificate is attached below.

COST INFORMATION SHEET

My costs for the Services are set out below.

DATA PROTECTION INFORMATION

My privacy policy is contained below.

COMPLAINTS POLICY

My complaints policy is attached below.

CANCELLATION FORM

TO: ________

OF: ________

EMAIL: ________

I hereby give notice that I cancel my contract for the supply of the childminding services which I ordered on ____________________________ (REQUEST DATE) and which you agreed to supply on ____________________(START DATE).

MY NAME:

_____________________________

MY ADDRESS:

_____________________________

DATE:

___________________________