Child Welfare Agreement Form




APRIL 29.] THE NEW ZEALAND GAZETTE. 1115

say, “wife of” &c., adding name, address, and occupation of husband],
(hereinafter called “the said person”), of the other part :
Whereas one [Full name of child] (hereinafter called “the said child”)
is now an inmate within the meaning of the Child Welfare Act, 1925 (herein-
after called “the said Act”):
And whereas the said person has agreed with the Superintendent to take
charge of, maintain, train, and employ the said child:
And whereas the Superintendent is satisfied that the said person is a
suitable person for that purpose:
And whereas the approval of the Minister of Education hereto has been
duly had and obtained:
Now, therefore, in pursuance of the said agreement and of section 20 of
the said Act, and in consideration of the premises, it is hereby agreed by and
between the parties hereto as follows :—

  1. The said person shall take charge of the said child as from the
    day of , 192 , to the day of , 192 .
  2. If the said child shall, with the approval of the Superintendent
    continue in the charge of the said person after the last-mentioned date, the
    said child shall be deemed to be in the charge of the said person upon the
    same terms as are herein set out, and this agreement shall continue in force
    subject to the rights of determination herein contained.
  3. The said person shall at all times during the continuance of this
    agreement lodge, board, and maintain the said child at [Insert his or her]
    own cost and in [Insert his or her] own home with all proper and sufficient
    meat, drink, medicine, apparel, lodging, washing, and all other things neces-
    sary and suitable for the said child.
  4. The said person shall personally train the said child in habits of
    physical, mental, and moral propriety and in habits of diligence and
    usefulness.
  5. The said person shall at all times during the continuance of this
    agreement train and employ the said child in [farm labour, domestic duties,
    or as case may be].
  6. The said person shall, in consideration of the services rendered by the
    said child, pay monthly on the day of every calendar month through
    any postal money-order office to the Superintendent for deposit in the Post
    Office Savings-bank, pursuant to section 37 of the said Act, a sum computed
    at the rate of shillings and pence a week, the first of such
    payments to be made on the day of , 192 .
  7. The said person shall in further consideration of the services rendered
    by the said child pay directly to the said child on the [Saturday, or as case
    may be] of every week the weekly sum of shillings and
    pence, the first of such weekly payments to be made on the day
    of , 192 .
  8. Both the said payments shall be computed from the day
    of , 192 , and shall be continued so long as the said child is in
    the employ of the said person.
  9. The said child shall be entitled after the completion of twelve
    calendar months’ service to fourteen days’ leave of absence on full wages.
  10. The cost of the said child’s going from to the said person’s
    employ and returning thither shall be borne by the said person.
  11. This agreement shall be deemed to be subject to all regulations under
    the said Act for the time being in force, except in so far as such regulations
    are repugnant to the express provisions hereof.
  12. This agreement may be terminated at any time by the Superintend-
    ent or by the said person upon giving one week’s notice in writing to the
    other of them : Provided always that this stipulation is without prejudice
    to the right of determination conferred on the Superintendent by section 20
    of the said Act.
    In witness whereof the said parties have executed these presents the day
    and year first hereinbefore written.
    ................, Superintendent.
    Signed by [ , Deputy Superintendent for and on behalf of] the
    said Superintendent, in the presence of—[Witness : Name, occupation,
    address].
    ............... Signed by the said [Name in full] in the presence of—[Witness : Name,
    occupation, address].
    MEMORANDUM : As from the date hereof the foregoing agreement is
    hereby modified as follows :—
    (a.) In lieu of clause No. 6 thereof the following provisions shall be
    substituted :—
    The said person shall in consideration of the services rendered
    by the said child pay monthly on the day of every


Next Page →

PDF embedding disabled (Crown copyright)

View this page online at:


VUW Te Waharoa PDF NZ Gazette 1926, No 26


NZLII PDF NZ Gazette 1926, No 26





✨ LLM interpretation of page content

🏥 Child Welfare (Forms and Procedure) Regulations, 1926 (continued from previous page)

🏥 Health & Social Welfare
Child Welfare Act, Regulations, Forms, Procedures, Boarding-out, Service