Children’s Cottage Child Care Inc. www.ChildrensCottage.com
Sign Up for Automatic Payments and Never Write a Check Again!
We need the following information on the checking account (Or simply attach a voided check)
Bank:_______________ 9 Digit Routing: ________________ Acct No:__________________
Debit $_______ once on the (pick one) ___1st of each month ___5th of each month
Debit $ twice on the (pick one) ___1st & 15th of month ___5th & 20th of month
Email Address So You Can Receive Monthly Statements & Information
Primary Person Name ____________________Email ____________________________________
Optional Secondary ____________________Email_____________________________________
Images of the Children
We put pictures/videos of the children, teachers, or parents on our Website or Facebook Page.
Most parents love this because it gives them a chance to share pictures with family and friends.
If a parent or guardian does not want images of their child on our website or Facebook page,
please give us a written note stating your wishes so that we may place it in your child’s folder.
Behavior Conduct Contract
I have read and understand the Behavior Conduct Contract in the Parent Handbook and agree to abide by its content
Teachers Performing Outside Work
If a Children’s Cottage employee performs work or services beyond their employment hours
for a parent or guardian, client or non-client of Children’s Cottage, it is understood and agreed
that the employee does not represent Children’s Cottage in doing this work or performing
these services and that Children’s Cottage is in no way responsible or liable for this work,
service, or the actions or behavior of the employee. This includes babysitting, etc.
Parent/Guardian Signature_______________________ Date________