4. Kōkua Learning Farm Workday Healthy and Safety Guidelines *
Required
REQUIRED (All Volunteers returning and new must fill out a waiver as of July 1, 2023). Each adult must complete the digital KHF Media Release & Liability Waiver Form as of July 1, 2023 for themselves and any child(ren) attending the workday.
5. As of July 1, 2023, I have submitted a signed KHF Media Release & Liability Waiver Form for myself, and my minor children (if applicable).
6. Email address *
Your answer
7. Phone number *
Your answer
8. Organization/Business/School Name (if applicable)
Your answer
9. City *
Your answer
10. Zip Code *
Your answer
11. If you are bringing children from your household, please list how many will be attending (all children must be accompanied and supervised by an adult).
Your answer
12. If you are bringing children from your household, please list their first and last names and ages.
Your answer
13. Please let us know how many children in the following age groups you'll be bringing:
0
1
2
3
4
5
Age 0-2
Age 3-5
Age 6-12
Age 13-17
0
1
2
3
4
5
Age 0-2
Age 3-5
Age 6-12
Age 13-17
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15. Have you previously volunteered for Kōkua Hawaiʻi Foundation?
16. Do you have any special skills, training or knowledge that you'd like to share with us?
Your answer
Do you have any allergies or medical conditions we should be aware of? (Ex: Serious allergies to bees or wasps; need for inhaler, etc.) Type N/A if none. *
Your answer
If your allergies require an epi-pen or other medication, please carry it with you.
17. Emergency contact name *
Your answer
18. Emergency contact's relationship to you *
Your answer
19. Emergency contact phone number *
Your answer
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