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Client Services Agreement

Please fill out the following form.

NATURE OF SERVICES Life Moments Child Care provides short-term on-site childcare services for private events. Services are temporary, occasional, and incidental to the event and are not licensed childcare under North Carolina law. Parents/guardians must remain on-site at the event or immediately reachable at all times.


SERVICES PROVIDED

  • Supervision of children during event hours

  • Age-appropriate activities and entertainment

  • Basc care (excluding medical or specialized care unless agreed in writing)


STAFFING & SUPERVISION

Caregivers will be assigned based on the number and ages of children attending the event. While reasonable supervision will be provided at all times, Life Moments Child Care does not guarantee constat one-on-one supervision unless specifically contracted.


HEALTH & SICK POLICY

Care may be refused for any child exhibiting:

  • Fever within 24 hours of event

  • Vomiting/diarrhea within 24 hours of event

  • Contagious illness or unexplained rash


If a child becomes ill, the parent will be contacted for immediate pick-up.

LATE PICK-UP POLICY

CLIENT RESPONSIBILITIES

ASSUMPTION OF RISK

LIABILITY WAIVER & INDEMNIFICATION

INSURANCE

CANCELLATION POLICY

GOVERNING LAW

ENTIRE AGREEMENT

By signing this agreement, I understand that childcare activities include physical play, interaction with other children, and use of toys and equipment, which carry inherent risks including but not limited to minor injuries from play.

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412-627-1113

Life Moments Child Care, LLC

Serving North & South Carolina

©2026 by S. Selway & C. Vanwinkle

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