Summer Start Kindergarten Transition Program 2023 - OFFICIAL REGISTRATION FORM
Aloha Parents/Guardians of Incoming Kindergarteners,

We welcome you to our Koko Head Elementary School `Ohana!  

You are receiving access to this survey because your child has registered for Kindergarten at Koko Head Elementary School for the upcoming school year.  

We are pleased to announce that this summer our school is offering a free program next month for a limited number of our incoming Kindergarteners to support the transition to our school.  Priority will be given to students who are currently not enrolled in any programs this summer and students who did not attend preschool.

The program will be co-taught by Ms. Nakagawa & Ms. Inoue, two of our Kindergarten teachers.  We will also have a teacher's assistant to support the class.

Summer Start Kindergarten Transition Program
Program Dates: Wednesday, July 5 - Friday, July 21 (13 days of in-person instruction)

Time: 8:00AM-12:00PM
(Please have students eat a healthy breakfast at home and provide a snack.  No breakfast or lunch service is available for this program at the school.)

Cost: Free

Eligibility: Students registered as Kindergartners at Koko Head Elementary School.  Priority registration will be given to students who are currently not enrolled in any programs this summer and students who did not attend preschool.

Please complete this form ASAP as spaces are limited.

Our office staff will email you a registration confirmation for this Summer Start Kindergarten Transition Program. Should you have any questions, please feel free to reach out to our office staff at (808) 397-5811 or via email at kokoheadoffice@k12.hi.us. We look forward to getting to know your child and your family!  Go Cobras!


Kind regards,

Jeffrey Shitaoka
Principal
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Email *
Student's Last Name *
Student's First Name *
First and Last Name of the Individual filling out this form *
Is your child currently attending preschool or has your child attended preschool before? *
If you answered "Yes" to the previous question, what is/are the name(s) of the preschool(s) that your child attends/attended?
Is your child currently in a summer program other than preschool? *
If you answered "Yes" to the previous question, what is the name of the summer program that your child is enrolled in?
Parent/Guardian #1 First and Last Name *
Parent/Guardian #1 Phone XXX-XXX-XXXX *
Parent/Guardian #1 Email Address *
Parent/Guardian #2 First & Last Name (write "none" if none) *
Parent/Guardian #2 Phone XXX-XXX-XXXX (write "none" if none) *
Parent/Guardian #2 Email Address (write "none" if none) *
EMERGENCY INFORMATION
In case of an accident or serious illness, we need to contact parents/guardians. If the school is unable to parents/guardians, I hereby give the school permission to call the physician indicated below and to follow the physician's instructions. If the school is unable to contact the physician, or it is deemed an emergency, the school may make appropriate arrangements which may include the calling of 911 for an ambulance.
Emergency Contact #1 Phone XXX-XXX-XXXX *
Emergency Contact #1 Name & Relationship *
Emergency Contact #2 Phone XXX-XXX-XXXX *
Emergency Contact #2 Name & Relationship *
Does your child have any allergies or other medical/health conditions that the school should be aware of?  If so, we highly encourage you to share the information with us.  If none, then just write "none". *
(OPTIONAL) Please include any dates of pre-planned absences during the period of July 5-21, that your child's teacher should be aware of.  You are also welcome to include any other information about your child that would be beneficial for the school to know prior to the first day of the program.
A copy of your responses will be emailed to the address you provided.
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