Preschool Inquiry Form

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)*

AikahiAlewaEwa BeachHawaii KaiHonoluluJuddKahului (Maui)KailuaKalaeloaKaneohe (Calvary)Lahaina (Maui)MailiMakawao (Maui)Mililani Tech ParkMoanaluaPearl CityPiilani (Maui)St. Mark'sSt. Tim's
Parent/Legal Guardian*

First NameLast Name
Relationship to child registering*

MotherFatherLegal GuardianOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address Type*

PhysicalMailingBoth
Phone Number*
Please enter a valid phone number.
Phone Type*

MobileHomeWork
Email*
example@example.com

Account Questions
How did you hear about this preschool?*

Returning FamilyFamily/Friend/ReferralBanner or SignageWeb Search or WebsiteTelevisionRadioNewspaperMagazineYelpFacebookInstagramOther
Have you enrolled at a Kama‘aina Kids Preschool before?*

NoYes
Preferred method of contact?*

PhoneEmailPhone or Email

Child Information
Child Name*

First NameLast Name
Gender*
Date of Birth (or due date)*

MonthDayYear
Date
Desired Start Date*

MonthDayYear
Date
Age Program*

InfantToddler2 Year Old3-5 Year Old (no program in Lahaina)5 Year Old and born after 7/31 (no program in Lahaina)
Potty Trained?*

NoIn TrainingFully Potty Trained
List of possible allergies

MilkWheatPeanutsBee StingPollenFoodAsthmaOther
Sponsoring Agency

DHS, Arbor, First To Work, etc.PauahiKeiki o ka AinaPrivate PayHead StartOther
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