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Pleasanton Kindergarten Registration: 2024-2025 School Year
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* Indicates required question
Email
*
Your email
Student Full Name
*
Your answer
Student Date of Birth
*
Your answer
Student Gender
*
Female
Male
Required
Mother's First & Last Name
*
Your answer
Mother's Address (Include City & Zip Code)
*
Your answer
Mother's Cell Phone
*
Your answer
Mother's Email
*
Your answer
Father's First & Last Name
*
Your answer
Father's Address *If different from mother's address, (Include City & Zip Code)
Your answer
Father's Cell Phone
*
Your answer
Father's Email
*
Your answer
Primary Residence of Child (Mother, Father or Guardian):
*
Your answer
Transportation Needs/After-School Care
*
My child will need bus service (either before or after school)
My child will need After-School Care
Other:
Please Acknowledge the following:
*
I understand that I will provide the following documentation to the school, NO LATER than the first day of school. : Birth Certificate & Immunization Records (or refusal)
Required
A copy of your responses will be emailed to the address you provided.
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