MLEF Liability Waiver

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MLEF Liability Waiver—2023

E komo mai (Welcome) to Loko ea Fishpond.

Please read and sign this risk agreement prior to participating in any activities with Mālama Loko Ea Foundation. Nīnau (questions) may be directed to info@lokoea.org.

We may need to contact you regarding your answers before confirming your visit.

Please complete one per person.

We look forward to seeing you! Mahalo!

Email Address *

Date of VISIT *

YYYY

Type of Visit *

Please select the GROUP NAME you are coming with or the TYPE OF PROGRAM you are attending. If neither is available, please indicate what type of program you are with.

Education/School Group

Community Work Day

Volunteer Group/ Event

Kumu ‘Ikena Cultural Workshop

Meeting at MLEF

Imu Day

Nakupuna Group

Ulu Aʻe Learning Center

Mālama Learning Center

Hololeʻa Tour

ARCC

Pacific Islands Institute (PII)

Teach For America (TFA)

Other:

Group Name (if not listed above)

Last Name *

Middle Initial

First Name *

Gender *

Female

Male

Other

Other:

Zip Code: *

Participant Birth Date - please make sure the YEAR is correct *

YYYY

Are you of Native Hawaiian ancestry? *

Yes

Contact mobile phone **In case we need to contact you *

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