Contract for Services

I, ____________________________________________________ the parent/guardian of

______________________________________________________ agree to educational

therapy services rendered by Erin Powers, M.Ed BCET.

Payment and Billing Policies

Billing is structured in four quarterly cycles.. Payment is due on or before the first day of each quarter and may be made by check or Venmo. If payment is not delivered in person, checks may be mailed to:

840 Coleman Ave. #9, Menlo Park, CA 94025
or use Venmo: @Erin-Powers-11

Quarterly Fees:

  • One session per week: $2,115.00
  • Two sessions per week: $4,320.00

Due Dates:

  • Quarter 1 Payment Due Date- September 2
  • Quarter 2 Payment Due Date- October 28
  • Quarter 3 Payment Due Date- January 20
  • Quarter 4 Payment Due- March 24

 

A $35 late fee will apply to any payment received after the first day of the quarter. If payment is not received by the due date, sessions may be suspended or permanently discontinued. Families remain financially responsible for all reserved sessions, regardless of attendance.

Holidays & Make-Up Sessions

Monday Holidays

There are numerous Monday holidays over the school year. Make-up sessions are guaranteed for students whose regular sessions fall on the following days:

  • Indigenous Peoples’ Day - Oct 13
  • January 5th
  • MLK Jr. Day - Jan 19
  • President’s Day – February 16
  • Memorial Day – May 25

 

 

 

Additional Services

Additional fees apply for professional services beyond regular sessions, including but not limited to:

  • Parent conferences
  • Student updates
  • School meetings
  • Report writing
  • Emails and phone calls (exceeding 5 minutes)
  • Travel time

These services will be billed at $235.00 per hour in 15-minute increments, with payment due on or before the date of service.

Communication Preferences

Parent updates must be requested via email, as they are scheduled and billed (email summaries, phone calls, or meetings). Each family may have different preferences for communication; it is up to each family to determine what works best. Please allow up to two business days for email responses.

Cancellation, Illness & Make-Up Policy

Sessions must be canceled with at least 24 hours’ notice to be eligible for a make-up. In-person sessions will not be held if either party is sick or exhibiting symptoms. However, the 24-hour cancellation policy still applies. If insufficient notice is given, the parent agrees to forfeit the session.

Up to two make-up sessions per quarter are permitted. These will be offered on Friday afternoons or during open slots when other students are absent. Parents are responsible for scheduling these sessions within the same quarter. Make-ups must be completed within the quarter; no pro-rating will occur.

 

Late Arrival & Pick-Up

If a student is more than 20 minutes late, the session is considered forfeited and cannot be rescheduled or credited. If a student arrives at the session late, and under 20 minutes, the session will still end at the scheduled time regardless of arrival time.

 

A $35.00 late fee will be charged if a student is picked up more than 10 minutes after the session ends.

Commitment & Termination

This agreement reflects a semester-long commitment. A strong therapeutic relationship is essential for student success. Abruptly ending services may be emotionally disruptive for the child.

 

 

 

 

 

Discontinuation

If parents choose to discontinue services, a four-week notice is required to allow for final assessments and proper closure. If services are terminated without notice, the client agrees to pay the equivalent of four sessions, $940.00.

For Cause Termination

Erin Powers reserves the right to terminate services at her sole discretion for cause or professional concerns.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature

By signing below, I agree to the financial terms and policies outlined above and guarantee prompt payment for services rendered.

Parent/Guardian Signature: ___________________________________________________


Date: ___________________

Printed Name: _______________________________

Date: ____________________________

Relationship to Child: __________________________

Home Phone #: ____________________

Email: _______________________________

Cell phone:________________________

   

              

 Address:

_____________________________________________

 

              

 _____________________________________________

 

Printed Name: _______________________________

Date: ____________________________

Relationship to Child: __________________________

Home Phone #: ____________________

Email: _______________________________

Cell phone:________________________

   

              

 Address:

_____________________________________________

 

              

 _____________________________________________

 

In case of Emergency Contact:

____________________________________ 

Cell phone #: _________________________

Relationship to Client: ____________________________

 

 

 

 

 

 

2025–2026 Calendar (4 Quarters - 9 Weeks Each)

Quarter 1- September 2 – October 27, 2025
Labor Day (No Sessions): Monday, Sept 1
• Indigenous Peoples’ Day (No Sessions): Monday, Oct 13

Quarter 2- October 28, 2025 – January 16, 2026
Thanksgiving Break: (No Sessions) Nov 25–28 (Tues–Fri)
• Winter Break: (No Sessions) Dec 19 – Jan 5
Instruction resumes: Tuesday, Jan 6
• MLK Jr. Day: Monday, Jan 19 (No Sessions)

Quarter 3- January 20 – March 21, 2026
Starts after MLK Jr. Day
•Presidents’ Day Weekend: Feb 13–16 (No Sessions)

Quarter 4- March 24 – May 30, 2026
Spring Break: April 5–11 (No Sessions)
•Memorial Day: Monday, May 25 (No Sessions)

 

 

 Holiday Summary

Date

Holiday / Break

Status

Sept 1, 2025 (Mon)

Labor Day

No Sessions

Oct 13, 2025 (Mon)

Indigenous Peoples’ Day

No Sessions

Nov 25 (Tues.) –28

Thanksgiving Break

No Sessions

Dec 19 – Jan 5 (Mon) 2026

Winter Break

No Sessions

Jan 19, 2026 (Mon)

MLK Jr. Day

No Sessions

Feb 13–16, (Mon)

Presidents’ Day Weekend

No Sessions

Apr 5–11

Spring Break

No Sessions

May 25, 2026 (Mon)

Memorial Day

No Sessions)