Piko Pals Pre-Registration Form

Yes
No
Native Hawaiian
Micronesian
White (non-Hispanic)
Japanese
Korean
Chinese
Filipino
Black
Hispanic or Latino
Samoan
Chuukese
Marshallese
American Indian
Other (Please Specify):
Yes
No
Yes
No
Weekday Mornings (10:00 AM - 12:00 PM)
Weekday Afternoons (12:00 PM - 2:00 PM)
Weekday Evenings (6:00 PM - 8:00 PM)
Weekend Mornings (10:00 AM - 12:00 PM)
Weekend Afternoons (12:00 PM - 2:00 PM)
Weekend Evenings (6:00 PM - 8:00 PM)
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