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Childcare Agreement

Childcare Agreement

State Childcare Licensing — Background Check Requirements

This Childcare Agreement (the "Agreement") is made on [Agreement Date] between:

[Parent Name], of [Parent Address], [Parent City], [State] [Parent Zip] (hereinafter referred to as the "Parent"); and

[Provider Name], of [Provider Address], [Provider City], [State] [Provider Zip], State License No. [License Number] (hereinafter referred to as the "Provider").

1. CHILD'S DETAILS

1.1 The child to be cared for under this Agreement is:

Full name: [Child Name]

Date of birth: [Child Date of Birth]

1.2 Known health conditions, allergies, or dietary requirements: [Child Health Info].

1.3 Emergency contact: [Emergency Contact Name] ([Emergency Contact Relationship]), Tel: [Emergency Contact Phone]. The Parent authorizes this person to collect the child and make emergency decisions.

2. LICENSING AND BACKGROUND CHECKS

2.1 The Provider confirms that they hold a valid childcare license issued by the State of [State], license number [License Number], and shall maintain this license throughout the term of this Agreement.

2.2 The Provider confirms that all persons who have regular contact with children at the childcare facility have completed the background checks required by the laws of [State], including FBI fingerprint checks where required under the Child Care and Development Block Grant Act of 2014 (42 U.S.C. 9858f).

2.3 The Provider shall comply with all applicable federal, state, and local childcare licensing requirements, including staff-to-child ratios, facility safety standards, and training requirements established by the State of [State].

3. CHILDCARE SERVICES

3.1 The Provider shall provide childcare services for [Child Name] at [Provider Address], [Provider City], [State] [Provider Zip], commencing on [Care Start Date].

3.2 The regular care schedule is: [Care Schedule].

3.3 The Provider shall not administer any medication to the child without the prior written consent of the Parent, except in a genuine medical emergency. The Parent shall provide all prescribed medications with clear written instructions.

3.4 The Provider shall maintain current first aid and CPR certifications as required by the laws of [State] and shall have a first aid kit readily available at all times.

4. FEES AND PAYMENT

4.1 The Parent shall pay the Provider at the rate of $[Weekly Rate] per week for childcare services.

4.2 Fees are payable [Payment Frequency].

4.3 If the child is picked up after the scheduled pickup time, an additional late pickup charge of $[Late Pickup Fee] per 15 minutes or part thereof shall be payable.

4.4 Fees are payable in full whether or not the child attends on any given day, including days when the child is absent due to illness or the Parent's choice, unless otherwise agreed in writing.

4.5 The Provider reserves the right to adjust fees with not less than 30 days' written notice.

5. ILLNESS AND EXCLUSION

5.1 The Parent shall not bring a sick child to the Provider's facility. The Parent shall notify the Provider by the start of the care day if the child is too unwell to attend.

5.2 The Provider follows the exclusion guidelines published by the American Academy of Pediatrics and the applicable health department of [State] for communicable diseases.

5.3 If the child becomes ill while in care, the Provider shall contact the Parent immediately and the Parent shall arrange for pickup within a reasonable time.

6. LIABILITY AND INSURANCE

6.1 The Provider shall maintain adequate liability insurance as required by the laws of [State] and shall provide proof of coverage upon request.

6.2 The Parent acknowledges that minor injuries may occur in the normal course of childcare activities and agrees that the Provider shall not be liable for such injuries provided the Provider has exercised reasonable care and supervision.

6.3 The Parent agrees to indemnify the Provider against any claims arising from the Parent's failure to disclose known health conditions or allergies of the child.

7. MANDATORY REPORTING

7.1 The Provider is a mandatory reporter under the child abuse and neglect reporting laws of [State] and under the Child Abuse Prevention and Treatment Act (CAPTA) (42 U.S.C. 5101 et seq.). The Provider is legally required to report any suspected child abuse or neglect to the appropriate state or local agency.

7.2 The Parent acknowledges that the Provider's duty to report suspected abuse or neglect overrides any confidentiality obligations under this Agreement.

8. TERMINATION

8.1 Either party may terminate this Agreement by giving not less than [Notice Period Weeks] weeks' written notice to the other party.

8.2 The Provider may terminate this Agreement with immediate effect for non-payment of fees, threatening or abusive behavior, or any other serious breach.

8.3 The Parent may terminate with immediate effect if the Provider's license is revoked or suspended.

9. GENERAL

9.1 This Agreement constitutes the entire agreement between the parties. No modification shall be effective unless in writing and signed by both parties.

9.2 This Agreement shall be governed by and construed in accordance with the laws of the State of [State].

9.3 The Provider is an independent contractor and not an employee or agent of the Parent.

IN WITNESS WHEREOF, the parties have entered into this Childcare Agreement on the date first written above.

PARENT / GUARDIAN

[Parent Name]

[Parent Address], [Parent City], [State] [Parent Zip]

Tel: [Parent Phone] | Email: [Parent Email]

CHILDCARE PROVIDER

[Provider Name]

[Provider Address], [Provider City], [State] [Provider Zip]

License No: [License Number] | Tel: [Provider Phone]

Parent / Guardian

________________

Signature

Date: ________________

Childcare Provider

________________

Signature

Date: ________________

Maintained by Vladislav Sergienko, Founder·Template last modified: ·Report an error

What Is a Childcare Agreement?

A Childcare Agreement in the United States governs the relationship between the parties by fixing what each must do.

In the United States, childcare is regulated primarily at the state level. Each state has its own childcare licensing agency (typically within the department of social services, health, or human services) that establishes requirements for licensing, staff-to-child ratios, facility safety, training, and background checks. The Child Care and Development Block Grant Act of 2014 (42 U.S.C. 9857 et seq.) established minimum federal standards for states receiving federal childcare funding, including complete background check requirements for all childcare staff.

The Child Abuse Prevention and Treatment Act (CAPTA) (42 U.S.C. 5101 et seq.) requires states to have mandatory reporting laws for suspected child abuse and neglect. Childcare providers are mandatory reporters in all 50 states and the District of Columbia, meaning they are legally required to report suspected abuse or neglect to the designated state agency.

A written childcare agreement is important for both parents and providers. For parents, it ensures clarity about the services to be provided, the fees to be paid, and the health and safety measures in place. For providers, it establishes the terms of the arrangement, defines the scope of services, and provides a record of parental consents for emergency medical treatment, medication administration, and activities.

When Do You Need a Childcare Agreement?

A Childcare Agreement is needed whenever a parent or guardian engages a childcare provider to care for their child on a regular or ongoing basis. This includes licensed childcare centers, family childcare homes, in-home childcare providers, nannies, and au pairs.

State licensing requirements vary, but most states require childcare providers who care for children from more than one family to obtain a state license. Some states exempt certain categories of providers from licensing, such as relatives caring for a small number of related children or religious organizations providing childcare. Even when not legally required, a written agreement is strongly recommended to protect both parties.

The agreement should be executed before care begins. It should be reviewed and updated whenever there is a change in the care schedule, fees, health information, or emergency contacts. Many providers review agreements annually.

Parents should verify that the provider holds a current state license and has completed the required background checks before signing the agreement. Parents may also wish to verify the provider's insurance coverage and first aid and CPR certifications.

For parents who pay for childcare, the agreement may also be relevant for tax purposes. The IRS allows a Child and Dependent Care Credit under Internal Revenue Code section 21, and the agreement serves as documentation of the childcare arrangement.

What to Include in Your Childcare Agreement

A complete Childcare Agreement must address several essential elements to protect both the parent and the provider and to comply with state licensing and federal requirements.

The identification section should include the full names and contact information of the parent, the provider, and at least one emergency contact authorized to collect the child. The child's details should include the full name, date of birth, and any known health conditions, allergies, or dietary requirements.

The licensing and background check section should confirm that the provider holds a valid state childcare license and that all staff have completed the background checks required under the Child Care and Development Block Grant Act (42 U.S.C. 9858f), including state criminal registry, sex offender registry, child abuse registry, and FBI fingerprint checks.

The care schedule should specify the days and hours of care, the start date, and any provisions for holiday or vacation care. The fees section should state the weekly or monthly rate, the payment frequency and method, late pickup charges, and the provider's policy on fees during absences.

Health and safety provisions should address illness exclusion policies consistent with American Academy of Pediatrics guidelines, medication administration requiring prior written consent, first aid and CPR certification requirements, and the provider's liability insurance.

The mandatory reporting section should acknowledge the provider's obligations as a mandatory reporter under CAPTA and applicable state law. The termination section should specify the notice period required by each party and the grounds for immediate termination.

Sources & Citations

Statutory citations link to official government sources.

  1. 42 U.S.C. 9857US – Cornell LII
  2. 42 U.S.C. 5101US – Cornell LII
  3. 42 U.S.C. 9858fUS – Cornell LII

Cite this page

Reference this free template in an article, syllabus, or research note:

APA

Forms Legal. (2026). Childcare Agreement (United States) [Legal document template]. Forms Legal. https://forms-legal.com/usa/personal/family/childcare-agreement

MLA

"Childcare Agreement (United States)." Forms Legal, 2026, https://forms-legal.com/usa/personal/family/childcare-agreement.

BibTeX
@misc{formslegal-childcare-agreement,
  author       = {{Forms Legal}},
  title        = {Childcare Agreement (United States)},
  year         = {2026},
  howpublished = {\url{https://forms-legal.com/usa/personal/family/childcare-agreement}},
  note         = {Free legal document template. Based on Restatement (Second) of Contracts}
}

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Frequently Asked Questions

Based on Restatement (Second) of Contracts — Template last modified June 2026

This template is provided for informational purposes only and does not constitute legal advice. Laws vary by jurisdiction and change over time. Consult a qualified attorney for advice specific to your situation.Full disclaimer

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