Hui O'Momilani Membership 2018-2019
2018-2019 Annual Dues: $20.00 PER FAMILY. The electronic payment link is provided upon completion of this form.
Erin Nakamura *
First and Last
Your answer
8087999545 *
Example: (808) 555-5555
Your answer
Parent/Guardian Name #2
First and Last or indicate "None"
Your answer
Cell Phone Number #2
Example: (808) 555-5555 or indicate "None"
Your answer
Email #2
Example: youremail@host.com or indicate "None"
Your answer
Home Phone Number (if any)
Example: (808) 555-5555
Your answer
How many children will be attending Momilani this year? *
Select one
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