Contract between the Family and the Provider of the Free

							Contract between the Family and the Provider of the Free Entitlement to Early Learning and
Childcare


Section A – To be completed by the Provider


 Name of school/setting

 Address and Postcode of
 school/setting:




Section B - General details relating to the Free Entitlement (to be explained to the family by the Provider)

1. The Free Entitlement is designed to offer every 3 and 4 year old child, irrespective of background, access to two
   years of early learning and childcare provision before reaching compulsory school age.

2. Families cannot be required to pay any fee for any element of their child’s Free Entitlement, either directly or
   indirectly or have any financial condition imposed as part of the acceptance of a child into the place.

3. Families cannot be charged in advance for the Free Entitlement even where the charges are to be refunded at a
   later date.

4. Every eligible child is entitled to access a maximum of 570 hours of Free Entitlement in any year, on the following
   basis:
        A maximum of 15 hours per week over a minimum of 2 days per week
        A maximum of 10 hours in a single day
        A minimum of 2½ continuous hours in any one day
        Take all or part of their Free Entitlement at a single setting or a maximum of two settings (including
           maintained sector schools).

The above information has been explained to me

Parent / Carer name: .....................................   Parent / Carer signature: ........................................


Section C – Details of the Child


                                                                                                              Checked and copied
                                                                                                              by the provider

    Child’s given name (as per birth certificate)


    Child’s family name/surname


    Child’s date of birth


    Family address including postcode




 (Note to providers - Suggested sources to prove address and date of birth are as follows: Birth Certificate, Benefit
 Book, Utility Bill, NHS card and Child’s passport)
 Section D - Key Terms and Conditions

1. I understand that if I choose to access the free entitlement at a setting offering fewer than 570 hours of Free
   Entitlement per year, Northamptonshire County Council has no obligation to make arrangements to provide
   additional hours to ensure my child receives the maximum entitlement over a year.                  Yes / No

2. I understand that after the headcount day in each funding block the named provider and amount of funding paid
   in respect of my child are both fixed for the full funding block. This does not mean that I cannot withdraw my child
   from the named setting, move my child to a different setting or change the number of hours my child accesses at
   the named setting.                                                                                      Yes / No

3. My child is attending more than one setting.                                                                                 Yes / No

4. If the answer to Q3 is Yes, my child is attending...........hours and claiming...........hours at .................................
                                                                                                           (name of setting)

5. I understand that if I allow my child to start to access childcare at this setting but then withdraw them before
   headcount date I will become liable to pay for all services accessed up to the date of withdrawal.        Yes / No

6. I have seen a copy of the provider’s current pricing policy and accept the details contained therein                        Yes / No

7. I confirm that the information provided here is complete and correct and that I have read and understood the
   information provided in this agreement. I understand that if I have given any misleading information on this form,
   it may be construed as fraud and that I will be required to reimburse the provider for any financial loss and may
   face criminal prosecution.                                                                             Yes / No

8. All the above terms and conditions apply to all funding blocks in which the family access the Free Entitlement.

This information will be stored on a database to provide the County Council with minimum data requirements to run
the Free Entitlement scheme.

Parent/Carer Name:                                       Parent/Carer Signature:                                   Date


Section E - To be completed by the Setting and signed by the Parent / Carer
Details of hours accessed



                                                Autumn Funding Spring Funding Summer Funding
                                                Block 2012     Block 2013     Block 2013

 Maximum hours that can be
                                                        215*                    180*                      245*
 accessed in each funding block

 Total number of free entitlement
 hours to be funded for the child at
 this setting in each funding block


* Please note that each child is entitled to a maximum of 570 free entitlement hours per year starting from the
funding block after the child’s third birthday.


I confirm that the information provided here is correct.

Parent/ Carer signature..........................................(Autumn 2012 funding block)            Date...........................

Parent/ Carer signature..........................................(Spring 2013 Funding Block)            Date...........................

Parent/ Carer signature..........................................(Summer 2013 Funding Block)            Date....................