Financial Literacy Workshop
Date: Thursday, August 19, 2021 - 5:30 to 7 pm
Location: Wisdom Center for Autism in Haiku
Contact: Akari at 808-280-5729 or info@akaritranslations.com
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Participant's First and Last Name *
Participant's Age *
Guardian's First and Last Name (If you're above age 18 and signing up for yourself, you can enter 'Self.') *
Guardian's Email (If you're above age 18 and signing up for yourself, you can enter your own email.) *
Guardian's Mobile Number (If you're above age 18 and signing up for yourself, you can enter your own mobile number.) *
How will you attend? *
Informed Consent and Acknowledgement
I hereby give my approval for my child's participation or my own participation in the workshop prepared by Aja Eyre and Akari Translations.

I assume all risks and hazards incidental to the workshop's activities. I release, absolve, and hold harmless Akari Translations and all its respective instructors and representatives from all liability for incidentals to said child or myself arising out of participating in the workshop.

- My child and/or anyone in my household has not had any of the following symptoms in the last 21 days: sore throat, cough, chills, body aches, shortness of breath, fever, lack of ability to smell and/or taste.

- My child and/or anyone in my household has not visited or received treatment in a hospital, long-term care, or other health care facility in the past 21 days.

- To the best of my knowledge, my child and/or anyone in my household has not been in close proximity to any individual who tested positive for COVID-19.

I understand that $10 is non-refundable.
How would you like to pay the participation fee of $10? *
Have you made the payment? (You can scan the QR code above.) (We will send you a receipt once we confirm your payment.) *
Required
Do you have any questions? Is there anything we should be aware of about the participant? (Medical concerns, etc.)
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