SY 2025-2026 A+ Registration

BEFORE YOU BEGIN

Before you proceed, please note this registration is for

2025-2026 SCHOOL YEAR ONLY
Current Date for DOB fields

MonthDayYear
Date
Dropbox
Dropbox Name Partition
IMPORTANT YOUR REGISTRATION DOES NOT GUARANTEE ACCEPTANCE.

The Before Care Site Coordinator or representative will contact you once your registration is reviewed to let you know enrollment status.

Once you have completed your child(ren)'s registration, you will receive an email with a PDF of your registration for your files.

Please note red astericks (*) indicate a required field. If no valid entry for a required field, please put NA.

After your child is registered and accepted into the program, a secure link for signing up for automatic tuition payments will be sent to all accepted families in mid-July 2025.

TIP To save your registration to complete later, click on the Save button at the bottom. From the pop-up, click on "Skip Create an Account" at the bottom and you'll be able to enter your email to be sent a link to continue later.

Start Online Registration
School
Child 1: Full Name*

C1 First NameC1 Last Name
Child 1: Gender*
Child 1: Date of Birth*

MonthDayYear
Date
Child 1: Age
Child 1: Grade Entering*
Language spoken at home*
Ethnicity*
Child resides with...*
C1: Has the child attended this Before Care site program before?*

NoYes
Days Attending*

MondayTuesdayWednesdayThursdayFriday
Have another child (2) to register?*

YesNo

SY 24-25 A+/Before Care Registration

DOE Schools Only
Child 2: Full Name

C2 First NameC2 Last Name
Child 2: Gender
Child 2: Date of Birth*

MonthDayYear
Date
Child 2: Age
Child 2: Grade Entering*
C2: Has the child attended this A+ site program before?*

NoYes
Have another child (3) to register?*

YesNo

Child 3: Full Name*

C3 First NameC3 Last Name
Child 3: Gender*
Child 3: Date of Birth*

MonthDayYear
Date
Child 3: Age
Child 3: Grade Entering*
C3: Has the child attended this A+ site program before?*

NoYes

Parent/Legal Guardian 1
Parent/Guardian 1: Name*

First NameLast Name
Parent/Guardian 1: Driver's License #
Parent/Guardian 1: Cell Phone*
Please enter a valid phone number.
Parent/Guardian 1: Home Phone
Please enter a valid phone number.
Parent/Guardian 1: Work/School Phone*
Please enter a valid phone number.
Parent/Guardian1: Mailing Address Street*
Parent/Guardian 1: Mailing Address City*
Parent/Guardian 1: Mailing Address Zip Code*
Parent/Guardian 1: Employer/Work Place/School Name*
Parent/Guardian 1: Employer/Work Place/School Address*
Parent/Guardian 1: Is an authorized pick-up?*

YesNo

Parent/Legal Guardian 2
Parent/Guardian 2: Full Name

First NameLast Name
Parent/Guardian 2: Driver's License #
Parent/Guardian 2: Cell Phone
Please enter a valid phone number.
Parent/Guardian 2: Home Phone
Please enter a valid phone number.
Parent/Guardian 2: Work/School Phone
Please enter a valid phone number.
Parent/Guardian 2: Mailing Address Street
Parent/Guardian 2: Mailing Address City
Parent/Guardian 2: Mailing Address Zip
Parent/Guardian 2: Employer/Work Place/School Name
Parent/Guardian 2: Employer/Work Place/School Address
Parent/Guardian 2: Is an authorized pick-up?

YesNo

Please list the adult individuals, 18 years or older, who are authorized to pick up your child(ren) from the facility, along with their phone numbers. The child(ren) will not be released to anyone not listed in the table below. Note: Any changes in departure authorization must be received in writing from the parent/legal guardian.
Authorized Pick-Up 1 Full Name
Authorized Pick-Up 1 Relation to Child
Authorized Pick-Up 1 Phone Number
Please enter a valid phone number.
Authorized Pick-Up 2 Full Name
Authorized Pick-Up 2 Relation to Child
Authorized Pick-Up 2 Phone Number
Please enter a valid phone number.
Authorized Pick-Up 3 Full Name
Authorized Pick-Up 3 Relation to Child
Authorized Pick-Up 3 Phone Number
Please enter a valid phone number.
Authorized Pick-Up 4 Full Name
Authorized Pick-Up 4 Relation to Child
Authorized Pick-Up 4 Phone Number
Please enter a valid phone number.

PARENT / GUARDIAN CONSENT FORM

I hereby give my child permission to attend and participate in the activities conducted by Kama‘aina Kids' A+, Summer A+, Before Care, and Holiday Care programs for the school year noted above.

I hereby agree that, if Kama‘aina Kids staff is unable to contact me or one of the persons listed as emergency contact, I hereby consent that if my child exhibits signs of illness or injury, that at the discretion of the Kama‘aina Kids supervisor on duty, my child may be taken to the nearest medical facility and be given any examination/treatment that is deemed necessary by the personnel of the medical facility, and if permissible by medical facility, subsequently released to Kama‘aina Kids supervisor or staff-in-charge.

I hereby authorize Kama‘aina Kids to use my child’s name and video or photograph at any time and in any manner in connection with its advertising, publicity, and public relations programs including its website, social media, and other digital platforms. The video/photo may only be used by Kama‘aina Kids. No further claims will be made by me.

DISCIPLINE POLICY

Discipline is used to assure the safety and well-being of all program participants. All children are expected to respect themselves, other people and their property. If a child is not following the guidelines of Kama‘aina Kids staff consistent with these expectations, then child will take a “time out” from the activity at the staff member’s discretion. A child with continued behavior problems will be sent to the Kama‘aina Kids’ Program Site Coordinator who may contact the parents for the purpose of suspending or removing the child from the program. Kama‘aina Kids reserves the right to refuse any child’s future participation in its programs, if it is deemed appropriate to maintain the safety of all program participants.

I hereby authorize Kama‘aina Kids to exercise these discipline policies regarding my child.

CONFIDENTIALITY

I understand that any information in this registration packet will not be disclosed to persons other than Kama‘aina Kids staff unless the parents or guardians of the child grant written permission for the disclosure or an emergency arises.
Parent/Guardian Consent Form-Discipline Policy-Confidentiality
Parent/Guardian 1 Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 2 Email
example@example.com

IMPORTANT YOUR REGISTRATION DOES NOT GUARANTEE ACCEPTANCE.

The Before Care Program Site Coordinator or representative will contact you once your registration is reviewed to confirm enrollment status.

Click on the Submit button below to confirm your registration.

Do not leave this page until the submisson is complete and you see a Mahalo confirmation.

After submission, please check your email for your completed PDF registration packet.
Should be Empty:

BEFORE YOU BEGIN

Start Online Registration

SY 24-25 A+/Before Care Registration

Parent/Legal Guardian 1

Parent/Legal Guardian 2

Parent/Guardian Consent Form-Discipline Policy-Confidentiality

Do not leave this page until the submisson is complete and you see a Mahalo confirmation.