Grace Place Learning Center Registration

  • Texas Dept of Family and Protective Services

    Form 2935 / June 2024

  • ADMISSION INFORMATION

  • GRACE PLACE LEARNING CENTER (GPLC)


    Executive Director: Jodi Gutierrez -

    Email: jgutierrez@schertzumc.com

    Director: Sandra Garcia -

    Email: sgarcia@schertzumc.com

    Assistant Director: Tanya Nobles -

    Email: tnobles@schertzumc.com


    Phone: 210-658-0846 / Cell: 210-420-0241

  • Operating Hours: 6:30am-6:00pm

    The daily drop-off time is before 9:30 am. Arrival after 9:30 am will not be permitted. Please check with the office about appointments of any kind.
  • DATE OF BIRTH:
     - -

  • Sessions Offered, Tuition, and Other Fees

    We offer full time and part time options.
  • FULL TIME TUITION:
  • PART TIME TUITION - Available for 18 months old and older only:

  • GPLC tuition payments are due by the 15th of the month. Payments can be made bi-monthly on the 1st & 15th. Payments can be made by check or money orders turned into the office, or online through ProCare (graceplaceschertz.com). There is a fee for paying online.

  • REGISTRATION CHECKLIST

  • Please return the completed Admission Information Packet to the Director's office:
  • Date
     - -

  • *REGISTRATION IS COMPLETE WHEN ALL THE ABOVE ITEMS HAVE BEEN FILLED IN, SIGNED, AND SUBMITTED.

  • If you are currently looking for a church home, would you like for Schertz United Methodist Church to contact you to provide information about the church and its various ministries?

  • TEXAS Health and Human Services

    Form 2935 / January 2025

  • Admission Information

    Use this form to collect all required information about a child enrolling in day care.

  • Directions: The day care provider gives this form to the child's parent or guardian. The parent or guardian completes the form in its entirety
    and returns it to the day care provider before the child's first day of enrollment. The day care provider keeps the form on file at the child care
    facility.

  • General Information

    Operation's Name: Grace Place Learning Center / Director's Name: Mrs. Sandra Garcia
  • Child's Date of Birth:
     - -
  • Child Lives With:
  • Date of Admission:
     - -
  • Date of Withdrawal:
     - -

  • List phone numbers below where parents or guardian may be reached while child is in care.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Custody Documents on File:

  • In case of an emergency, when the parent or guardian cannot be reached, call:

  • Format: (000) 000-0000.

  • I authorize the child care operation to release my child to leave the child care operation only with the following persons. Please list name and phone number for each. Children will only be released to a parent or guardian or to a person designated by the parent or guardian after verification of ID.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Consent Information

  • Transportation:

  • I give consent for my child to be transported and supervised by the operation's employees. Place a check in the box below to give consent for emergency care.

  • Form 2935 / Page 2 / 01-2025

  • Water Activities:

  • I give consent for my child to participate in the following water activities. Check all that apply.

  • Receipt of Written Operational Policies:

  • I acknowledge receipt of the facility's operational policies, including those for the following. Check all that apply.

  • Meals:

  • I understand that the following meals will be served to my child while in care. Check all that apply:

  • Days and Times in Care:

  • Rows

  • Receipt of Parent's Rights:

  • I acknowledge I have received a written copy of my rights as a parent or guardian of a child enrolled at this facility.
  • Date Signed
     - -

  • Form 2935 / Page 3 / 01-2025

  • Child's Special Care Needs, check all that apply
  • Does your child have diagnosed food allergies?
  • Food Allergy Emergency Plan Submitted Date:
     - -
  • Child day care operations are public accommodations under the Americans with Disabilities Act (ADA), Title III. To learn more, visit www.ada.gov/resources/child-care-centers/. If you believe that such an operation may be practicing discrimination in violation of Title III, you may call the ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY).
  • Date Signed
     - -

  • Authorization for Emergency Medial Attention

    In the event I cannot be reached to arrange for emergency medical care, I authorize the person in charge to take my child to:
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date Signed
     - -

  • NOTE: Pages 4, 5, and 6 must be completed by your child's physician.

  •  
  • Should be Empty: