Kea'au High School 2026 Summer Bridge Program Application & Consent Form

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Please fill out and answer all questions in their entirety. Mahalo!

The program is intended for students entering their freshmen year (9th grade) only. Please see our website for other summer program availability.

This organization does not tolerate any form of discrimination, harassment, or bullying because of a student's race, color, national origin, disability, sex, age, gender identity and expression, socio-economic status, physical appearance, sexual orientation, and/or religion.

Email *

Student Last Name *

Student Legal First Name *

Gender *

Male

Female

Prefer not to say

Other

Birth Date *

YYYY

Previous School *

Physical Address *

City *

Zip Code *

Home Phone Number *

Mailing Address (if different from home address) *

City *

Zip Code *

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