Senior Ball Refund Request Form

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A parent or guardian must fill out this form for students who are under the age of 18. Students who are 18 may complete this form on their own. Please ensure the address listed is correct as this is where the checks will be mailed to.

Email *

What is the name of the student guest you're requesting a refund for? Please list only one name and complete a separate form should you be requesting multiple refunds. *

Is the guest a student of Kealakehe High School? *

Yes

What grade is the guest in? *

Out of School

Who should the check be made out to? *

What address should the check be mailed to? PLEASE DON"T FORGET TO LIST CITY AND ZIP. *

What is your phone number? *

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