Ka Hale Hoano O Ke Akua Church "The Hallowed House of God"
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ʻAha Paeʻaina 2022
Registration Form
E
vent Dates: July 5 - 10, 2022
Location: 1760 Nalani Street,
Honolulu, HI 96819
Registration Deadline:
Extended to May 15, 2022
Hosted by: Ka Hale Ho'ano O Ke Akua Church
Primary Attendee Information
*
Indicates required field
Select Your Home Church
*
[Select One]
Ka Hale Hoano O Ke Akua
Ka Hale Ho'ano O Ierusalema Hou
Ka Hoku Ao Malamalama
Ka Hale La'a O Ierusalema Hou
Ierusalema Hou
Maluhia
Other
Please select the church you are a member of.
If "Other", please provide the name of your church:
*
Primary Attendee Name
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First
Last
Gender (Primary)
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Male
Female
Attending?
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In-Person
Virtual
Contact Phone Number
*
(Mobile Cell Phone Numbers Preferred)
Email Address
*
Housing/Lodging Needed?
*
Yes
No
N/A
Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Transportation Needed? (From/To Airport ONLY)
*
Yes
No
N/A
Additional Adult Attendees
Additional Adult 1
*
First
Last
Gender (Adult 1)
*
Male
Female
Relationship to Primary Attendee
*
Spouse
Caregiver
Significant Other
Friend
Family Member
Children Attendees (Age 25 and below)
Name - Child 1
*
First
Last
Age - Child 1
*
Gender - Child 1
*
Male
Female
Name -Child 2
*
First
Last
Age - Child 2
*
Gender - Child 2
*
Male
Female
Name -Child 3
*
First
Last
Age - Child 3
*
Gender - Child 3
*
Male
Female
Name -Child 4
*
First
Last
Age - Child 4
*
Gender - Child 4
*
Male
Female
Indemnification Statement (Check applicable box below)
As the responsible adult for the attendees named above, refer to the indemnification statement below as your decision, to indemnify and hold harmless, Ka Hale Hoano O Akua Church, it's members, leaders, ordained officials and governing board (KHHOKA), against any loss or damages, of any kind, that may occur during said rally event.
Indemnification Consent (Check applicable box)
*
I consent to indemnify KHHOKA
I DO NOT consent to indemnify KHHOKA
Submit
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