FREE EARLY EDUCATION AND CARE ENTITLEMENT – PARENT AGREEMENT

THIS AGREEMENT is made on the                                                      day of                                             20
BETWEEN
……………………………………………………………………………………………..…………………….…………………………..…….. (“the Provider”)

and ……………………………………………………………………………………..…………...……………………….…………………..…  (“the Parent”)

For the Period of the Agreement between ………………………..…….……. and ..………………….………………… ( ………Terms )

The Parent agrees as follows:
1.	My Child [insert name] ………………………………………………………………………………..………, is entitled to Free Early Education and Care for the above Period so long as my Child remains eligible in accordance with the terms of this Agreement and the Statutory Entitlement, being a maximum of 15 hours each week for a minimum of 38 weeks in the year (570 hours).
2.	The details I have provided overleaf are accurate and true and which I will amend if necessary by informing the Provider in writing by amending the details overleaf, and to be agreed by the Provider, before the commencement of each relevant School term. I understand that any false information provided could lead to my free entitlement funding being withdrawn.
3.	My Child’s free entitlement can be provided only by a maximum of two Providers (which can include nursery schools and primary schools with nursery classes).
4.	I will ensure my Child attends the Provider for the number of free hours I have requested and will inform the Provider of the reason for any absences. I understand the Provider is entitled to terminate this Agreement if my Child does not attend for ten Provider Working Days and I fail to inform the Provider of the reason for absence. If the termination occurs within twenty Provider Working Days prior to the end of the Provider’s funding period of any school term, a reduced notice period will apply.
5.	I have to pay the Provider direct in accordance with the Provider’s separate terms and conditions, a copy of which I have seen;
a.	for any additional Services I have requested or received from the Provider in excess of my Child’s free Statutory Entitlement,
b.	for any Services provided by them during any period where I am not entitled to receive funding from Kirklees Council in accordance with the terms of this Agreement and the Statutory Entitlement.
6.	If I wish to cancel this Agreement I will give the Provider at least twenty Provider Working Days written notice.
7.	Where there is any conflict between the terms of this Agreement and those of the Provider’s separate terms relating to the Statutory Entitlement, the terms of this Agreement shall prevail.

Signed by the Parent: ………………………………………………………………………….. Date: …………………..……………

Print Name: ……………………………………………………………………………………………………………………………………….

The Provider agrees as follows:
1.	I shall provide the Early Education and Care Services to the Child as set out overleaf in accordance with the FEEC Guide, the terms of this Agreement and the Kirklees Agreement and understand that failure to do so could result in our receiving no payment, or refunding any payments made to us, and/or removal from the Kirklees List of Approved Providers.
2.	I have checked the Child’s original identification document (i.e. birth certificate) and kept a copy. The reference number is:………………………………….………
3.	I shall enter into the “Kirklees Agreement” with Kirklees Council regarding the provision of Services to the Child as set out overleaf, except where the Provider is a local authority maintained school.
4.	At all times, I will notify the parent in writing and in advance, of the days I am not open for business during the length of this Agreement (with the exception of weekends, Good Friday, Christmas Day, bank holidays and any designated public holidays).

Signed by the authorised signatory of the Provider: ………………………………………………………………………….. 

Date: …………………  Print Name: …………………………………….…… Capacity: …………………………………………………

1.	CHILDS DETAILS
Legal Forename		Legal Surname		
Middle name (s)		Preferred Surname		
Address including Postcode		
Date of Birth		Gender		Ethnicity		SEN Stage		

2.	PARENT / GUARDIAN DETAILS - EARLY YEARS PUPIL PREMIUM [optional]
It is important that Parent / Guardian 1 is the Claimant, for example the person named on the Tax Credit Award Form or Letter from the Department of Work and Pensions.

Data Protection Statement: By providing your details in this section you are agreeing to Kirklees Council using your details to check if your child is eligible to the Early Years Pupil Premium from age 3 and the Pupil Premium and/or the Free School Meal entitlement when he/she starts school. The Council will not use your details for any other purposes unless required to do so by law. If you require more details call: 01484 221000 [ask for free early education] or email: earlyeducation@kirklees.gov.uk 

	Parent / Guardian 1 (Claimant)	Parent / Guardian 2	
Forename			
Surname			
Date of Birth	DD	MM	YYYY	DD	MM	YYYY	
Please complete either A, B or C below	
A: National Insurance Number																			
B: National Asylum Support Service (NASS) Number																			
C: My child has left Local Authority Care through adoption, a special guardianship order or a child arrangements order and I have attached a copy of the care order	

Yes	

3.	ATTENDANCE DETAILS – FOR STANDARD ENTITLEMENT [complete either section 3 or 4]
	Early Ed/Care Provider 1 (named overleaf)	Early Ed/Care Provider 2 (if applicable)	
Name of Provider			
	M	Tu	W	Th	F	Total	M	Tu	W	Th	F	Total	
Total hours attending

Free early education hrs													
Additional childcare hrs													

4.	ATTENDANCE DETAILS - FOR STRETCHED ENTITLEMENT
	Early Education and Care Provider (named overleaf)	
Name of Provider		
Term	Free early education hours	Total hours in each term	Total weeks in each term	Total weeks in year	
	M	Tu	W	Th	F	Total				
Summer										
Autumn										
Spring										

Signed by the Parent: …………………………………………………………………………….. Date: …………………..……………

Signed by the Provider: ………………………………………………………………………….. Date: …………………..……………