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LEGO® STEM Explorers, Pokémon Masters Card League & Keiki Cooking Lab Registration
Thank you for your interest in LEGO® STEM Explorers, Pokémon Masters Card League or Keiki Cooking Lab!  Please carefully fill out the registration form below.  Once this registration form is submitted and payment is made through wrennokada.com via PayPal you will receive a confirmation email within 5 business days.  If you have any questions or concerns please email wrennokada@gmail.com
Email *
Choose Class Location *
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Student's Name (First and Last Name) *
Student's Preferred Name / Nickname (Leave Blank if None)
Student's Grade *
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Student's Homeroom Teacher and Class Number *
Photo, Video & Audio Release *
We would love to take photos and videos of your student's projects and share them with you.  Any photo, video and audio content may be used for promotional and training purposes. This release is effective until revoked by the undersigned in writing, such revocation shall prevent any future use of the materials. The student’s name may not be used. Content captured may be shared with parents and guardians, however shared content is for personal viewing only and may not be distributed, shared, or posted to social media.
Date *
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For Kamehameha School Students Only: How will your child be going home when class is done?

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For Kamehameha School Students Only: If we have to cancel class at the last minute due to unforeseen circumstances, what would be your childʻs afterschool plan?

-Guardian Car Pick Up
-YMCA Nā Pua Lei Afterschool Program
-Go Home on the Bus (provide the bus route name)
For Manoa Elementary School Students Only: How will your child be going home when class is done?
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For Ma'ema'e Elementary School Students Only: How will your child be going home when class is done?
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For Kaimuki Christian School Students Only: How will your child be going home when class is done?
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Student's Allergies (Listing Symptoms and Severity), Health Concerns and Additional Information. If none answer "None" *
Primary Guardian's Name (First and Last Name) *
Primary Guardian's Relationship to Student
 *
Primary Guardian's Email *
Primary Guardian's Email  *
Enter Primary Guardian Email Again to Confirm
Primary Guardian's Phone Number
 *
Secondary Guardian's Name (First and Last Name)
Secondary Guardian's Relationship to Student
Secondary Guardian's Email
Secondary Guardian Email 
Enter Secondary Guardian's Email Again to Confirm
Secondary Guardian's Phone Number
Emergency Contact's Name (First and Last Name) *
Emergency Contact's Relationship to Student *
Emergency Contact's Phone Number
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A copy of your responses will be emailed to .
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