Ulu Kukui Summer Enrichment Registration 2021
June 7 - July 2, 2021
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Student's Last Name *
Student's First Name *
Age *
Gender *
Current School *
Grade completed as of May 2021 *
Does the student receive Special Education services? *
Mother's Name *
Mother's Cell Number *
Mother's Email *
Father's Name *
Father's Cell Number *
Father's Email *
Please sign my child up for the following program(s) *
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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