Enrollment Forms

Fill out the form below to create an account with Planet Kids.

Step 1 of 7

Account Agreement
Dad's Name
First Last
Cell Phone
Work Phone
Place of Employment
Work Address
Mom's Name
First Last
Cell Phone
Work Phone
Place of Employment
Work Address
Nearest Relative
Nearest Relative Cell
Consent
By checking this box, I agree and understand that the services rendered for child care are subject to the following conditions:
* All tuitions are due and payable in full on Monday in advance
* Tuitions not paid by Friday morning will result in a $20.00 per day late fee until balance is paid in full
* If tuition is not paid by Friday morning, your child will not be able to attend Planet Kids until the entire balance is paid in full
* The customer (parent or guardian), agrees to pay, in the event the account is turned over to an agency or attorney for collection, reasonable fees, plus all attendant collection costs, or court costs
* Tuition is to be paid even if your child misses due to holiday, illness, school break, or vacation
Please use the field below to place your signature on this form.
Account Agreement Signature

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Discipline and Guidance Policy
READ POLICY
Discipline and Guidance Policy Consent
I have read and received a copy of this discipline and guidance policy
Texas Administrative Code, Title 40, Chapters 746 and 747, Subchapters L, Discipline and Guidance
Parent's Name
First Last
Discipline and Guidance Policy Signature
Relationship to child
- Parent
- Employee / Caregiver
- Household member of child-care home

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Emergency File Information
Mom's Name
First Last
Emergency File Information Mom's Cell Phone
Emergency File Information Mom's Work Phone
Emergency File Information Mom's Place of Employment
Emergency File Information Mom's Work Address
Emergency File Information Mom's Home Address
Emergency File Information Mom's Home Address
Dad's Name
First Last
Emergency File Information Dad's Cell Phone
Emergency File Information Dad's Work Phone
Emergency File Information Dad's Place of Employment
Emergency File Information Dad's Work Address
Emergency File Information Dad's Home Address
Insurance Carrier
Insurance ID #
Clinic / Hospital
Clinic / Hospital Phone Number
Clinic / Hospital Address
Child's Physician
Child's Physician Phone Number
Child's Physician Address
Current Medications (If Any)
Any Known Allergies or Special Instructions

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Parent Handbook Acknowledgement
READ HANDBOOK
Consent
By checking this box, I acknowledge the following:
I have read Planet Kids Learning Center’s “Parent Handbook”. I understand and agree with all of the terms and conditions. I understand that at any time I may ask to see a copy of the parent handbook. I understand that policies in this handbook can change at any time with notice given to me in writing of the changes. Please submit signature page with enrollment packet, keep the handbook for your records.
Parent or Guardian Name
First Last
Please use this space to sign this document using your our mouse or touch screen before submitting this document.
Account Agreement Signature

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Automatic Charge
Card Number
Name On Card
First Last
Phone Number
Consent
By checking this box, I agree to the following conditions:
I authorize Planet Kids Learning Center to apply payment for service to the credit card listed on this form. This service provides automatic payment withdrawal every Monday (weekly) or the first Monday of the month (monthly).

Payment made by credit card/debit card, the customer authorizes Planet Kids Learning Center to charge the listed credit card the recurring tuition charges for Planet Kids Learning Center.
Please use this space to sign this document using your our mouse or touch screen before submitting this document.
Automatic Charge Signature

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Picture Release Form We will be adding updated pictures to our website and pictures will be added to Facebook routinely. Therefore, we ask that you sign a release allowing your child to possibly be included in the pictures. Your child’s name will not be included. Thank you for your cooperation, Cheryl Kiner, Director Planet Kids
Child's Name
First Last
Parent or Guardian
First Last
Please use this space to sign this document using your our mouse or touch screen before submitting this document.
Signature

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Admission Information To complete the enrollment packet, please download and print the Admission Information Form. Once you have it printed, please fill the form out and bring it in with you when you come to visit or email the completed form to planetkids@gvtc.com. If you aren't able to print and complete the Admission Information Form before your visit, we can print it for you when you come in. Please don't hesitate to reach out to us if you have any questions!
DOWNLOAD FORM
Admission Information Form Submission Options
- I will email Admission Information Form
- I will bring Admission Information Form when I visit
- I will complete Admission Information Form when I visit
Comments
This field is for validation purposes and should be left unchanged.

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Questions? Contact us!

T: (830) 249-5922
E: info@planetkidslearning.com

Other Enrollment Options

If you would like to complete a hard copy of the enrollment packet, please download the full packet, fill it out completely, and email it to planetkids@gvtc.com or bring it in person when you visit.

DOWNLOAD PACKET

Enrollment Forms

Step 1 of 7

Account Agreement

Discipline and Guidance Policy

Emergency File Information

Questions? Contact us!

Other Enrollment Options