Maui Family Support Services  Youth Services Summer Youth Week- 10-17 years old
Monday 06/27/2022 through Friday 07/01/2022  8:00 am to 2:00 pm daily
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Registration Form
Please register early as some of the activities have limited participation.  We will follow-up with the specifics as we determine the amount of participants. Please use a separate form for each child you are registering. Any questions, or for further information, please contact Momi Medeiros at momi@mfss.org. This is for youth 10-17 years old

Please complete a separate registration for for each child
What is your child's age? *
Youth First and Last Name *
Parent/guardian First and Last Name *
Emergency contact phone number *
Contact email address *
Which day(s) do you want your child to participate in our Youth Week? *
Required
Are you able to provide transportation for your child? Drop-off time: 8:00 am at the Cameron Center. Pick-up time: 2:00 pm at the Cameron Center *
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