Summer 2022 Na Maka O Kai I'a APPLY

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Summer 2022
Student Name(Required)
Date of Birth(Required)
School(Required)
The school your child regularly attends
My child will be entering this grade next Fall (Sept 2022)(Required)
Please describe, or write "none"
Please describe, or write "none"
Parent/Guardian Name(Required)
Is there another parent/guardian we should add to the child's record?

In an Emergency, if we can't reach you, who should we contact?

First Name | Last Name | Phone/Txt #
Transportation (Lokahi Schools only)
Transportation is an issue that would prevent my child from attending the program. Check the box for a staff member to contact you to assist with transportation needs.
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Dismissal Home from School(Required)
If there's something else we should know, or any clarifications, please add those here.
Consent: Data(Required)
Consent: Liability and Media(Required)