Teen Health Camp O'ahu 2018 Registration
Welcome to Teen Health Camp (THC) O'ahu at JABSOM 2018 Registration form.

THC O'ahu will be held at the University of Hawai'i at Manoa, John A. Burns School of Medicine, 651 Ilalo St., Medical Education Building, Honolulu, HI 96813 on Saturday, November 3rd, 2018. 9am-3pm.

A completed and signed "Accidental, Medical, Field Trip, and Media Release" form is required to complete registration.
Found here: https://drive.google.com/file/d/1mMu6zB_S1AvsH84V3rsPIv7t99H63OeS/view?usp=sharing

The form must be emailed to Nicole Peltzer at npeltzer@hawaii.edu, faxed to (808)692-1258, or mailed to:

THC O'ahu c/o Nicole Peltzer
Hawai'i/Pacific Basin Area Health Education Center
University of Hawai'i, John A. Burns School of Medicine
651 Ilalo St., MEB Room 224
Honolulu, HI 96813-5525

Registration must be done in one sitting. A separate link to the release form will be provided at the end of registration.

Registration and release form are due on Friday, October 26th, 2018.

If you have any questions feel free to contact Nicole Peltzer at npeltzer@hawaii.edu or call (808) 692-1066.

We look forward to seeing you there!

Email address *
Next
Never submit passwords through Google Forms.
This form was created inside of University of Hawaii. Report Abuse - Terms of Service - Additional Terms