Kids Club LOTTERY Registration 2020-21
Thank you for your interest in the Kids Club Program for your TK or Kindergarten student during the 2020-21 school year. Kids Club is a before and after school program that serves students from TK through 5th grades at eight elementary schools – Alisal, Donlon, Fairlands, Hearst, Lydiksen, Mohr, Valley View, and Vintage Hills. The Kids Club Programs are administered by the Pleasanton Unified School District.

A student is eligible for the Kids Club lottery when they are enrolled at their neighborhood school that has a correlating Kids Club Program onsite. Each site is limited in the number of TK and Kindergarten students they can accept each year. The number of students enrolled is determined by the number of students leaving at the end of the school year. Other spaces become available when a currently enrolled family leaves Kids Club.


Email address *
Which grade will your child be attending in August? *
Child's First Name (please check spelling) *
Your answer
Child's Last Name (please check spelling) *
Your answer
Gender *
Do you currently have a child on the Kids Club Wait List (list name)? If so, what is the sibling's current grade?
Your answer
Parent/Guardian Name(s) *
Your answer
Best numbers to call *
Your answer
Email addresses (this is where we send the lottery results - feel free to enter more than one email address) *
Your answer
NEIGHBORHOOD School (closest to home) where your child is registered to attend: *
I understand and agree that if my child is selected for a spot at Kids Club that the START date will be Monday, June 1, 2020 (or payment may be made to retain space). Please note that Lydiksen Kids Club students will not start until some time in August due to the Lydiksen rebuild. *
OPTIONAL - I will be signing up for the Dual Immersion Program at Valley View Elementary.
OPTIONAL - My child will NOT be attending their Neighborhood School (home school). I understand that Kids Club lottery acceptance only applies to Neighborhood schools and does NOT transfer. We will be applying for OPEN ENROLLMENT to the following school :
Your answer
Never submit passwords through Google Forms.
This form was created inside of Pleasanton Unified School District. Report Abuse