Enrollment Form Test - Planet Kids Learning Center

Enrollment Form TestWebsite Administrator2020-04-15T12:32:46-05:00

Account Agreement Form

for Planet Kids Learning Center

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
Signature*
Email
This field is for validation purposes and should be left unchanged.