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Mālama ʻĀina Club Registration
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* Indicates required question
Studentʻs Name
*
Your answer
Grade
*
Grade 3
Grade 4
Grade 5
Room #
*
Your answer
Parentʻs Name
*
Your answer
Parents Phone #
*
Your answer
Parentʻs Email
*
Your answer
Afternoon pick up/drop off
*
A+
TLC
MVC (Manoa Valley Church)
Japanese School
Parent will pick up after class
Other:
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