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Ulu Kukui Summer Enrichment Registration 2020
June 8-July 2, 2020
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* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Age
*
Your answer
Gender
*
Male
Female
Current School
*
Your answer
Grade completed as of May 2020
*
Choose
PreK
K
1
2
3
4
Does the student receive Special Education services?
*
Choose
Yes
No
Mother's Name
*
Your answer
Mother's Cell Number
*
Your answer
Mother's Email
*
Your answer
Father's Name
*
Your answer
Father's Cell Number
*
Your answer
Father's Email
*
Your answer
Please sign my child up for the following program(s)
*
Early Morning Care (6:45-8:00) $50.00
Summer School (8:00-12:00) $250.00
Afternoon Care (12:00-5:00) $375.00 includes lunch & field trips
Hula Monday & Wednesday (12:30-1:30) $80.00
Hip Hop Tuesday &Thursday (12:30-1:30) $80.00
Required
Print a copy of this page before clicking on the submit button. Turn in payment along with copy of Emergency form and printed registration to the school office to complete your registration. Registration is on a first come first serve bases.
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