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
Kaneohe (Calvary)
Lahaina (Maui)
Maili
Makawao (Maui)
Mililani Tech Park
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
Back
Next
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
Back
Next
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
Should be Empty: