KHIS Alumni Association Registration Form
56-490 Kamehameha Hwy Kahuku, Hawaii 96731
Email address *
Title (Mr. Mrs. Ms. Miss Dr.)
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Graduation Year (YYYY) *
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Name (last, first middle initial) *
Your answer
Maiden Name
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Address (number, street, city) *
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State
Zip *
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Country *
Home Phone *
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Cell Phone
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Industry/Profession
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Skills and/or Talents
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Payment
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Alumni Signature
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Date
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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