Inquiry Form
Need more information on a preschool? By completing our Inquiry Form, we will contact you within 5 business days to confirm details.
Preschool Location Interested In (please select all that you are interested in registering for)
*
Aikahi
Alewa
Ewa Beach
Hawaii Kai
Honolulu
Judd
Kahului (Maui)
Kailua
Kalaeloa
Maili
Makawao (Maui)
Moanalua
Pearl City
Piilani (Maui)
St. Mark's
St. Tim's
Parent/Legal Guardian
*
First Name
Last Name
Relationship to child registering
*
Mother
Father
Legal Guardian
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address Type
*
Physical
Mailing
Both
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Phone Type
*
Mobile
Home
Work
Email
*
example@example.com
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Account Questions
How did you hear about this preschool?
*
Returning Family
Family/Friend/Referral
Banner or Signage
Web Search or Website
Television
Radio
Newspaper
Magazine
Yelp
Facebook
Instagram
Other
Have you enrolled at a Kama‘aina Kids Preschool before?
*
No
Yes
Preferred method of contact?
*
Phone
Email
Phone or Email
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Child Information
Child Name
*
First Name
Last Name
Gender
*
Please Select
Unknown
Male
Female
Date of Birth (or due date)
*
-
Month
-
Day
Year
Date
Desired Start Date
*
-
Month
-
Day
Year
Date
Age Program
*
Infant
Toddler
2 Year Old
3-5 Year Old (no program in Lahaina)
5 Year Old and born after 7/31 (no program in Lahaina)
Potty Trained?
*
No
In Training
Fully Potty Trained
List of possible allergies
Milk
Wheat
Peanuts
Bee Sting
Pollen
Food
Asthma
Other
Sponsoring Agency
DHS, Arbor, First To Work, etc.
Pauahi
Keiki o ka Aina
Private Pay
Head Start
Other
Submit
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