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Please complete the form provided below. The amount of detailed information is asked of you so that we may send the proper forms and brochures which apply to your child(ren)
Guardian Information
Title
Mr.
Mrs.
Ms.
Mz.
Dr.
First Name
Last Name
Relationship
Mother
Father
Legal Guardian
Grandparent
Sibling
Other
Term of Interest
2010 - 2011
2011 - 2012
2012 - 2013
Contact Information
Street Address
Street Address Line 2
City
State
Zip Code
Phone
Phone Type
Home
Work
Cell
Email
Additional Information
What advantage do you anticipate Hanalani has for your children?
Comments / Special Instructions
How did you hear about Hanalani Schools?
From a Current Hanalani Parent
From a Friend
From a Hanalani Employee
Google
Yahoo!
Other Internet Search Engine
Moms Like Me Website
Honolulu Advertiser Website
Link From Another Website
Island Family Magazine
Blue Pacific Monthly
Flyer in the Mail
Newspaper Story/Article
Newspaper Ad
Radio
Television
Yellow Pages
Parent is an Alumni
Other
Could you please describe your other source?
Children
Number of Children
1
2
3
4
Child (1)
Child's First Name
Child's Last Name
Gender
Male
Female
Interested Grade
K3 (3-Year-Olds)
K4 (4-Year-Olds)
K5 (Kindergarten)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Birthdate
---
January
February
March
April
May
June
July
August
September
October
November
December
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1
2
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4
5
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1985
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2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Child (2)
Child's First Name
Child's Last Name
Gender
Male
Female
Interested Grade
K3 (3-Year-Olds)
K4 (4-Year-Olds)
K5 (Kindergarten)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Birthdate
---
January
February
March
April
May
June
July
August
September
October
November
December
---
1
2
3
4
5
6
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11
12
13
14
15
16
17
18
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20
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27
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31
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1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Child (3)
Child's First Name
Child's Last Name
Gender
Male
Female
Interested Grade
K3 (3-Year-Olds)
K4 (4-Year-Olds)
K5 (Kindergarten)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Birthdate
---
January
February
March
April
May
June
July
August
September
October
November
December
---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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25
26
27
28
29
30
31
---
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
Child (4)
Child's First Name
Child's Last Name
Gender
Male
Female
Interested Grade
K3 (3-Year-Olds)
K4 (4-Year-Olds)
K5 (Kindergarten)
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Birthdate
---
January
February
March
April
May
June
July
August
September
October
November
December
---
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
---
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
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