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FORM 63.

Contract for Child Care

This Contract for Child Care, is made by and between (Name of Individual or business "Employer", located at: _____ ) and (Name of Individual or business "Employee", located at: _____ ) on (specify date). WHEREAS, the parties desire that Employee provide child care for the following children: (specify names and ages); and WHEREAS, Employee accepts such responsibilities and to perform such duties as specified herein; NOW, THEREFORE, FOR VALUABLE CONSIDERATION SET FORTH HEREIN, THE PARTIES AGREE AS FOLLOWS: 1. This Agreement will commence on (specify date). 2. The Employee agrees to perform the following duties: (specify in detail, such as housecleaning, ironing and laundry, shopping, cooking, bathing the children, errands for the family, assisting in transportation, etc.). 3. Set forth other pertinent conditions, such as term of the contract, whether it can be extended after the initial term, living arrangements for the Employee and reporting hours. 4. Specify payment. This should include the hourly or weekly rate, and what taxes will be deducted from the Employee's regular paycheck. (For example: The Employee will be paid a weekly salary of $X. The following deductions will be taken to comply with appropriate law including Social Security; federal, state, and local employment taxes; workers' compensation and unemployment insurance; charges for personal telephone calls; and other deductions discussed and mutually approved by the Employee in advance. Said payment will be made each Monday by 5:00 p.m. (Author's Note: Consult your local or state law regarding overtime and maximum weekly working hour requirements.) 5. The Employee will receive the following benefits: (specify, such as room and board, meals, sick leave, vacation days, personal days, holidays, health insurance, life insurance, transportation, or use of an auto). 6. Termination. The Employee is hired AT WILL. Either party can terminate this Agreement at any time with or without warning, notice, or cause. 7. Severance Pay. At the termination of this Agreement, Employee shall receive X week's severance pay plus all accrued wages and benefits earned up to the termination date. 8. This Agreement supersedes all prior agreements and understandings and may only be modified in writing and signed by both parties. This Agreement is in force when signed below. 9. This Agreement cannot be assigned without the prior consent of Employer. 10. This Agreement shall be governed by the law of the state of (specify). ____________________________ Name of Employer Dated: _________________

____________________________ Name of Employee

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