1314 Moonui Street,
Honolulu, HI 96817; phone 808.842.5642;
fax 808.841.2564; www.hawaiiacademy.com
--- INVITE YOUR FRIENDS TO JOIN YOU ---
Items To Bring: Sleeping Bag or Sheet & Light Blanket, Pillow,
Toiletries, (sleep wear if desired)
(Beginners bond with and get
‘coached’ by advanced team athletes)
8:15 pm Bungee System Set Up
9:30 pm Snack Break and Shift to Less
Strenuous Activities
Parents are welcome to stay and observe, join in as supervisors,
or assist in any way
Saturday,
18 June 2005
- - - - - - - - - - -
SCHOOL’S OUT SLUMBER PARTY
REGISTRATION FORM - - - - - - -
Attendee’s
Name:___________________________________
School:______________________________________
Address:_____________________________________________________________ Age:
______ Sex: M or F
City:______________________________________ State: ___________ Zip:
________________
Phones: _______________________ ________________________ (Include $25 with this form; mail or put
HA
Member: ___ Yes ___ No in payment box)
Email: _______________________________________ Physician: ___________________________________
Limitations:_______________________________________Other:
________________________________________
I hereby give
permission for my child to participate in this event and have read and signed
the HA permission-release-information form (members have already signed this
form; non-members MUST complete this form).
IMPORTANT: This form gives instructions for actions to be taken in the
event of an emergency and permission to treat if medical attention is needed
and the parents cannot be notified.
Parent Signature: ______________________________ Date:_____________________