Writing Support Program Registration for Quarter 3

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Aloha Koko Head Elementary School Parents/Guardians,

This registration form is for students who have been invited to participate in the program. Some students were invited to participate in our in-school writing support program, others were invited to participate in our after school writing support program.

Please note that completion of this form indicates parent/guardian permission for your child to participate in our program. We hope your child can participate!

Kind Regards,

Jeffrey Shitaoka
Principal
Koko Head Elementary School

Email *

Student's Last Name *

Student's First Name *

Teacher's Name *

Name of Parent/Guardian completing this form *

Is your child in the after school A+ Program run by Kamaaina Kids? *

Yes

(Optional): Please use this section to share any information about your child's schedule, and/or any questions and requests.

A copy of your responses will be emailed to the address you provided.

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