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May Scrimmages '21
Registration
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Has your "keiki" participate in any of our kK clinics from September 2020 - present?
*
Yes
No - *Do not forget to submit your 1x annual membership fee of $30*
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Email Address 1
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone
*
Your answer
Allergies
*
Your answer
Hospital of Choice
*
Your answer
How did you hear about kK?
*
Former Keiki
Email
Facebook
Instagram
Google
Friend*
Other:
*Friend Referral - Who referred you?
Your answer
Please indicate how many years your keiki has played volleyball
*
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