Happy Hall Expanded Learning Enrollment Request - 2025 - 2026 School Year 
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Email *
Enrollment Form Instructions
  • One form for each student is required. 
  • Forms with multiple students or incomplete forms, will not be accepted. 
  • Once your student is approved, you will receive your child's start date and program details via email. 
  • Additionally, you will need to agree to and sign the Expanded Learning Program Policies before your child can start attending the program. 
  • Submission of this form does not guarantee placement in the program, it only indicates your interest in the Expanded Learning Program. Enrollment confirmation emails will be sent out prior to starting. 
Student Information
ONLY 1 student per form. 
Student First Name *
Student Last Name *
Student Gender *
Student Date of Birth *
MM
/
DD
/
YYYY
Student School *
Student Grade *
Requested Start Date 

First day of school is Thursday, August 14, 2025. 
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MM
/
DD
/
YYYY
Enrollment History 

My child attended the Expanded Learning program during the 2024-2025 School Year. 
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Eligibility Status 

My child is eligible to attend for free. 

Please note that all families, including those who qualified for no-cost attendance last year, must verify their UPP status with the school district by completing the new School Year 25-26 Child Nutrition Meal Application or Educational Benefit Form (for Lomita Park families). Once the district confirms your child(ren)'s eligibility, we will be able to enroll them at no cost. 

IMPORTANT: The district has instructed families to NOT complete any meal application form or Educational Benefit Form for the 25-26 until the new forms are posted on https://www.millbraeschooldistrict.org/domain/216. The new forms will not be posted until sometime after July 1st. Families must check the website throughout the Summer. The new form link will clearly state for the School Year of 2025-2026. 

In order to see if you qualify based on income, please visit the Child Nutrition website at https://www.millbraeschooldistrict.org/domain/216. On the left hand side, click on "My School Apps" box and the application will follow. The application is available in a variety of languages. Families must reapply each school year. Once the school district receives the electronic application, they will update an internal list for us and notify us. 

*Note: Lomita Park families need to use the same link above, however, and must complete the "Educational Benefit Form". 

Please refer questions regarding UPP-eligibility criteria and/or application process to the Millbrae School District: 

Mr. Stanley Huynh – shuynh@millbraesd.org

Ms. Tina Modani – tmondani@millbraesd.org 

Please note that as part of the Millbrae School District, Stanley or Tina do not enroll/approve any Enrollment Requests for Happy Hall. 


You are also welcome to enroll your child and pay the associated fees (Page 5) for their schedule. Please be aware that the enrollment process may take 1-2 business days, depending on program availability. If there is a waitlist at that time, you will be notified.

Families who believe their child(ren) qualify to attend our program at no cost but has not yet been UPP-verified for the 25-26 school year will be placed on hold until your child(ren) has been added to our list of UPP students by the school district. If your child(ren) becomes enrolled into our program, you will receive an email with paperwork that you must complete for each student prior to them attending our program. 
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SCHEDULE FOR FEE-WAIVED STUDENTS 
LOMITA PARK 
  • Scheduled Days: Students are required to attend all days of the week. 
  • Before School Hours: Students are required to arrive by 7:30 AM if attending Before School. 
  • After School Hours: Students are required to stay until 5:30 PM if attending After School. 

ALL OTHER LOCATIONS 

  • Scheduled Days: Students can attend 1 - 5 days. 
  • Program Hours: Students can arrive or be picked up at any time. 
  • Consistency: For those selecting a schedule of fewer than 5 days per week, it is required that students attend on the same days each week. For instance, if a student is enrolled for Tuesday and Thursday, these are the specific days they should attend every week. 

SCHEDULE FOR FEE-PAYING STUDENTS 
SCHEDULES
  • Scheduled Days: Students can enroll in 3 or 5 days. There is a 2 day option for Middle School only.
  • Consistency: For those selecting a schedule of fewer than 5 days per week, it is required that students attend on the same days each week. For instance, if a student is enrolled for Tuesday, Wednesday, and Thursday, these are the specific days they should attend every week.
TUITION 

GRADES TK-5 ONLY | 7:00 - 8:15 AM
  • AM ONLY 5 DAYS $530
  • AM ADD-ON 5 DAYS $100 
TK-KINDER | PICK-UP BY 3:00 PM
  • 5 DAYS $625 + AM ADD-ON $725  
  • 3 DAYS $410 + AM ADD-ON $510  
TK-KINDER | PICK-UP BY 6:00 PM
  • 5 DAYS $1,090 + AM ADD-ON $1,190  
  • 3 DAYS $860 + AM ADD-ON $960​  
GRADES 1-5 | PICK-UP BY 6:00 PM
  • 5 DAYS $955 + AM ADD-ON $1,055  
  • 3 DAYS $755 + AM ADD-ON $855 
GRADES 6-8 | PICK-UP BY 6:00 PM
  • 5 DAYS $810 
  • 3 DAYS $535 
  • 2 DAYS $420  
BEFORE SCHOOL 

Program Hours: 

Green Hills: 7:00 - 8:15 AM 
Lomita Park: 6:45 - 8:15 AM 
Meadows: 7:00  - 8:15 AM 
Spring Valley: 7:00 - 8:15 AM 
Taylor Middle: No Before School Program. 
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AFTER SCHOOL 

Indicate the days your child will attend each week. 

Program Hours: 
All Locations - After School until 6:00 PM 

Lomita Park: Must select all 5 days. 
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Yes
No
Monday
Tuesday
Wednesday
Thursday
Friday
AFTER SCHOOL 

Indicate if you would like your TK-KINDER child enrolled in Early Pick-Up (Pick-Up by 3:00 PM). 
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Preferred Language for Communication  *
Student Allergies 

In order to take the necessary precautions, we request that you provide as much detail as possible about your child's allergies. 

- Type of Allergy: Specify the type of allergy/allergies your child has (e.g., food allergies, drug allergies, environmental allergies, etc.). If they have more than one allergy, please list all of them separately. 

- Severity of Allergy: Indicate the severity of each allergy, if possible. For example, does the allergy cause a mild rash, or could it potentially result in a life-threatening reaction like anaphylaxis?

- Symptoms Experienced: Describe the symptoms your child usually experiences during an allergic reaction. This information will help our staff to quickly recognize and respond to an allergic reaction.
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Student Medication 

Please provide detailed information about any medication your child may require while participating in our program. This includes medication for allergies, chronic conditions, or any other medical needs. 

- Medication Name: Please provide the name(s) of any medication your child is currently taking. 

- Condition Treated: Please briefly describe what each medication is used for. This will help us understand the purpose of each medication. 

- Administration Instructions: Please provide detailed instructions on how and when the medication should be administered. This should include information on dosage, timing, and any specific steps we should follow.

- Storage Requirements: Are there any special storage requirements for the medication? For example, does it need to be refrigerated or kept away from sunlight?

- Expiration Date: If applicable, please provide the expiration date of any medication your child will be bringing to the program.
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Student Special Diet 

We strive to accommodate the individual dietary needs of all students participating in our after-school program. If your child follows a special diet due to allergies, religious beliefs, personal choice, or a medical condition, please check all that apply below. 
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Required
Student Special Needs 

If your child has any special needs or accommodations related to a physical, learning, behavioral, or emotional disability, please provide detailed information below. 

- Current Accommodations: Please provide information about the accommodations or modifications currently in place at your child's regular school, if any. This could be anything from an IEP (Individualized Education Program), a 504 plan, or other accommodations.

- Additional Information: If there are additional details or instructions related to your child's special needs, please provide them here. This might include communication preferences, strategies that have been effective in other settings, ongoing supportive therapies, or considerations to help avoid discomfort or distress.

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Parent/Guardian 1 Information 
Parent/Guardian 1 First Name  *
Parent/Guardian 1 Last Name  *
Parent/Guardian 1 Relationship to Student  *
Parent/Guardian 1 Email  *
Parent/Guardian 1 Cell Phone   *
Street Address  *
City  *
State  *
Zip  *
Student lives with Parent/Guardian 1  *
How did you hear about us?  *
Parent/Guardian 2 Information 
Parent/Guardian 2 First Name 
Parent/Guardian 2 Last Name 
Parent/Guardian 2 Relationship to Student 
Clear selection
Parent/Guardian 2 Email 
Parent/Guardian 2 Cell Phone 
Student lives with Parent/Guardian 2. 
Clear selection
Authorized Pick-Ups & Emergency Contacts 
Only list people below that you authorize Happy Hall to release your student to and contact in case of an emergency. This information will be used to create a unique pin that authorizes pick-up of this student.
#1 First Name 
#1 Last Name 
#1 Relationship to Student 
#1 Cell Phone
#2 First Name 
#2 Last Name 
#2 Relationship to Student 
#2 Cell Phone 
#3 First Name 
#3 Last Name 
#3 Relationship to Student 
#3 Cell Phone 
A copy of your responses will be emailed to the address you provided.
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