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  • About
    • Video Channel
    • Online curricula
    • News | Updates
  • Programs
    • Community Schools
    • Imi Wai Ola
    • NALU Studies
    • PNP
    • WIRED
    • SOAR HI
  • 21st CCLC Mālama | Lōkahi
    • About
    • Newsletter
    • Enroll / Apply
    • Video and Online Activities
  • Fishpond
    • Oral History Archive
    • Lā Ohana Days
    • School Visits – Huaka’i
    • ʻIke Kūpuna
  • Contact
FishpondWaiverwebmaster2023-02-08T20:48:01-10:00
You may Sign a Waiver OR Register for a specific event here:(Required)
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Event(s) now registering:
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Who is attending?(Required)
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Register Me/Us Please!(Required)
Legal Name (if under age 18, please ask a parent or guardian to complete this form).(Required)
If you're under 18, your name goes in another part of this form.
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Are you a Malama or Lokahi afterschool student
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Total # adults in your party
Please enter a number from 1 to 1.
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Please ask your other adults to sign their own waiver at thepaf.org/waikalua/waiver Thanks!
#
Please enter a number from 0 to 4.
Name(s) of students/children, minors (under 18 yrs old).
Agreement(Required)
Waikalua Loko I'a is owned and operated by the Pacific American Foundation Hawaii, Inc. and Pacific American Foundation, a 501(c)(3) nonprofit organization for educational and charitable activities that benefit the public. I will attend a visit, community workday or other activity at Waikalua Loko I`a located at 45-231 Kulauli Street in Kane‛ohe, Oahu, (hereinafter "Event"). I agree to conduct myself with great regard for my own and others' safety and expressly agree to the following:

I. Assumption of Risk, Release and Waiver
Pacific American Foundation Hawaii, Inc., and Pacific American Foundation and their officers, agents, employees or representatives, docents, volunteers and all others acting on their behalf, hereinafter "PAF Released Parties" do not provide liability insurance, or otherwise indemnify against injuries or any other liabilities arising from our participation in the Event.
I hereby give permission to use photos of me, my group, or my child during the Event. I understand that the intended purpose of the video or photograph will be used solely for educational purposes. I waive any rights of compensation or ownership thereto.

PAF Released Parties are not responsible or accountable in the unlikely event I / my child/children contract COVID-19 due to participation in the Event. IF I AM FEELING ILL or have tested positive, I WILL NOT COME.

II. For DOE participants only, the following terms apply:

The STATE shall be responsible for the damages or injury caused by the STATE, STATE's agents, officers, and employees, in the course of their employment to the extent that the STATE's liability for such damage or injury has been determined by a court or otherwise agreed to by the STATE, and the STATE shall pay for such damage and injury to the extent permitted by law. Pacific American Foundation shall be responsible for damages or injury caused by Pacific American Foundation, Pacific American Foundation's agents, officers, and employees. In the course of their employment to the extent that Pacific American Foundation's liability for such damage or injury has been determined by a court or otherwise agreed to by Pacific American Foundation and the Pacific American Foundation shall pay for such damage and injury to the extent permitted by law.
III. For PAF Staff participants only, the following terms apply:
I understand that community work days are not part of specific work duties, unless specified in my work contract, and are undertaken by me in the role of volunteer. Any injuries sustained are not part of my work duties, nor the responsibility of the PAF Released Parties, and are my personal liability.

I have had the opportunity to read this entire document, and agree to be bound by its terms. I release, relinquish, and forever discharge PAF Released Parties from any and all claims any and all causes of action that I (and minor children accompanying me, if applicable) have or may have, past, present or future, known or unknown, anticipated or unanticipated.
PAF 'Ohana is a public charity 501(c)(3) The Pacific American Foundation Tax ID #54-1696134

Herb Lee Jr., CEO and President
Pacific American Foundation
45-231 Kulauli Street
Kaneohe, HI 96744

Mailing Address
PAF ‘Ohana
The Pacific American Foundation
111 Hekili Street, Suite A 170
Kailua, HI 96734

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