Kaukau4Keiki 2025 Application

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Application: Oahu Kaukau 4 Keiki 2025

K4K 2025 Info

Mahalo for your interest in the Kaukau 4 Keiki (K4K) Program. We are looking forward to providing families with fresh produce again this year! Through this program, we offer free weekly boxes filled with fruits and vegetables to support healthy meals for your keiki during the summer.

Each box is made possible through partnerships with local farmers and our community. One box per eligible child, per week. Supplies are limited, and registration is first come, first served.

We’re grateful to serve our community and support local food systems—mahalo for being a part of it!

— The Kahumana Team

Eligibility

Keiki residing in the 96792 zip code may be eligible to receive a weekly box of breakfasts and lunches. This program is available to children ages 17 and under, or up to 22 years old if they have a disability and are enrolled in a HIDOE school.

Phone Number *

Preferred Email *

Parents/Guardian Information

First name *

Last Name *

Who will be picking up the boxes? *

Only the registered individual and one alternate adult will be allowed to pick up the box.

Note: We will no longer be able to accept "notes" as a form of authenticating any pickups.

Please list one other person that will be allowed to pickup the box. (Last, First)

Physical Residence Address Including Town *

Zip Code *

Within the past 30 days, our family had worried whether our food would run out before we got money to buy more.
*

Often True

Sometimes True

Never True

Don't know/prefer not to say

Within the past 30 days, the food our family bought just didn't last and we didn't have money to get more.
*

Often True

Sometimes True

Never True

Don't know/prefer not to say

Delivery/ Pickup Information

Please note: This form is only for residents of the 96792 zip code.
If you live outside of this area, please visit the Kaukau 4 Keiki website to find a sponsor serving your zip code.

To help make pickups more convenient, we’re asking for your preferred delivery days. Space is limited for each day, and spots will be assigned in the order responses are received. If all of your preferred days are full, we may place you on a different day.

Mahalo for your understanding!

I will pick up my family's box(es) at:
Please select
*

Waianae - Kahumana Organic Farms (96792)

Required

Please choose preferred pickup days. *

Monday

Tuesday

Wednesday

Thursday

Friday

Any day is fine with me

Required

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