Student Travel Notification
We are requesting your cooperation in notifying La Pietra of all travel plans for students or members of their households outside of Hawaii for the remainder of the 2021-2022 School Year. This information will be kept confidential and any questions may be referred to Mrs. Gay Chinen, Dean of Students | gchinen@lapietra.edu.  

We greatly appreciate your assistance in completing the form below.
Sign in to Google to save your progress. Learn more
Student's First Name
Student's Last Name
Parent's Name
Parent's Cell Number (###-###-####)
Parent's Email
Reason for Travel *
Start date of travel *
MM
/
DD
/
YYYY
End date of travel *
MM
/
DD
/
YYYY
Return Date to On-Campus Learning if applicable *
MM
/
DD
/
YYYY
Additional Information
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of La Pietra Hawaii School for Girls. Report Abuse
Google Forms