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2024 Work Day & Volunteer Registration Form
This form is for volunteer and work days where community members and/or organizations come and work at KIKA. This form should be filled out BEFORE the work day.
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* Indicates required question
Email
*
Your email
Date of site visit(s)
*
MM
/
DD
/
YYYY
Participants Name (First)
*
Your answer
Participants Name (Last)
*
Your answer
Participants Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Participants Mailing Address
*
Your answer
Participants Contact Phone Number
*
Your answer
Medication/Conditions/Allergies
*
Your answer
Emergency Contact #1 - Name and Phone Number
*
Your answer
Emergency Contact #2 - Name and Phone Number
*
Your answer
Name of school or group you are with? (If neither applies to you, use " N/A " )
*
Your answer
Please read through the liability waiver below and type your name in the answer portion below if you agree to the terms stated in the "ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM".
*
Your answer
Are you Hawaiian?
*
Yes
No
Send me a copy of my responses.
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