REGISTRATION FORM
Registration and enrollment for Enrichment Classes are on a first-come, first-served basis. Please direct any questions to Kawai Tupou, UPLINK Summer School Coordinator, via text or call at
206-790-3395 or via email at ellen_gay.tupou@k12.hi.us.

DATES for Summer School:   June 3 thru July 1st, 2020.  
June 11, 2020 is a Holiday - No School.
School Online Hours will be from 8am - 12pm, Monday thru Friday.

THE FOLLOWING ENRICHMENT CLASSES ARE BEING OFFERED THIS SUMMER:
     Instructor                         Name of Class
1) Karen Foster                 SEWING  (Limited Space Available)
2) Dr. Zohreh Furtado       HO'OULU CREATIVE WRITING
3) Mathieu Williams         MEDIA MASTERCLASS  (Limited Space Available)
4) Karen Foster                 ORAL HISTORY OF KONA

CLICK LINK TO SEE COURSE DESCRIPTION AND FLYER HERE:  
https://sites.google.com/k12.hi.us/kis-uplink/summer-2020/enrichment

Student's Legal Last Name *
Student's Legal First Name *
Student ID Number *
Student's Birthdate *
MM
/
DD
/
YYYY
Mailing Address *
City *
Current Grade Level *
Parent/Guardian Information
Parent/Guardian Name *
Relationship to Student *
Phone Number *
E-mail *
Emergency Contact
Please provide a second emergency contact. If we cannot reach the parent/guardian of the student, this person will be contacted.
Emergency Contact Name *
Relationship to Student *
Phone Number *
Summer School Class Selection (NAME OF COURSE / INSTRUCTOR)
Summer School Class Selection *
Required
ACKNOWLEDGEMENT
By submitting this form, I, the Parent/Guardian of my child, grant my child permission to enroll in the Kealakehe Intermediate Enrichment Summer Program. I understand that some courses are on a space available basis. Choosing "I agree" means I acknowledge the terms presented above and understand that "I agree" constitutes an electronic signature. Choosing "I DO NOT agree" means I do NOT acknowledge the terms above and understand that my child's registration will be cancelled. *
Form Submission Agreement *
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