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Papa Hula Registration
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* Indicates required question
Studentʻs First Name
*
Your answer
Studentʻs Last Name
*
Your answer
Grade
*
K
1
2
3
4
5
Room #
Your answer
Teacher
Your answer
Pick Up
*
Parent pick up
A+
TLC
Manoa Valley Church
Japanese School
Other:
Parentsʻ Information
Motherʻs Name
*
Your answer
Motherʻs Email
*
Your answer
Motherʻs Phone Number
*
Your answer
Fatherʻs Name
*
Your answer
Fatherʻs Email
*
Your answer
Fatherʻs Phone Number
*
Your answer
Emergency Contact
If parents cannot be reached, please note who the next person of contact should be
Name
*
Your answer
Relation to student
*
Your answer
Phone Number
*
Your answer
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