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Palapala Noi Komo – Student Application

*Students entering Malaa’o (Kindergarten) MUST be 5 years old on or before July 31.

HAUMANA

Name *

First

Middle

Last

Birth Date *

* MUST be 5 years old on or before July 31

Grade Applying For: *

Choose the appropriate: *

Can he/she speak any other languages? *

If so, which language?

Please provide a school history for your child (pre-school to present).

May we contact your child's previous schools for additional information, if necessary? *

Name of School

Grades Attended

Years Attended

Name of School (2)

Grades Attended (2)

Years Attended (2)

Name of School (3)

Grades Attended (3)

Years Attended (3)

Name of School (4)

Grades Attended (4)

Years Attended (4)

Name of School (5)

Grades Attended (5)

Years Attended (5)

'OHANA

Mother's Name *

First

Middle

Last

Mailing Address *

Address Line 1

City

State

Zip Code

Is your physical address same with the mailing address? *

Phone (Home) *

Phone (Work)

Phone (Cell)

Email *

Does mother speak Hawaiian? *

Father's Name *

First

Middle

Last

Mailing Address *

Address Line 1

City

State

Zip Code

Is your physical address same with the mailing address? *

Phone (Home) *

Phone (Work)

Phone (Cell)

Email *

Does father speak Hawaiian? *

What is the primary language of the home? *

What other languages, if any, are spoken at home?

Does anyone else in your 'ohana speak Hawaiian?

Does this child have siblings also applying to and/or already attending Kawaikini? *

Comment

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Office Hours: 7:30 am – 4:00 pm daily

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