Papa Hula Registration
Studentʻs First Name *
Studentʻs Last Name *
Grade *
Room #
Pick Up *
Parentsʻ Information
Motherʻs Name *
Motherʻs Email *
Motherʻs Phone Number *
Fatherʻs Name *
Fatherʻs Email *
Fatherʻs Phone Number *
Emergency Contact
If parents cannot be reached, please note who the next person of contact should be
Name *
Relation to student *
Phone Number *
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