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Ho`āla School

2026 Keiki Summer Program Sign Up Form

2026 Keiki Summer Program Sign Up Form

Step 1 of 2

50%

Fees and Discounts:

Summer Program Tuition Fees:
Fees are $275 per week per child. There are discounts for 4,5,6 and 7 weeks and they do not need to be consecutive to receive the discount.
7 weeks = $1,800
6 weeks $1,550
5 weeks $1,275
4 weeks $1,000
3 weeks $825
2 weeks $550
1 week $275

Summer Plus Program
Designed for students who require Before or After School Care:
$15 per day for AM Care (beginning at 6:30am)
$15 per day for PM Care (ends at 5:30pm)

Parent's Name*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Cell Phone*
Parent Email*
Student Information
1st Child's Name*
Grade Completed*
Please select the number of weeks that you want to sign up for child 1*
- 7 weeks
- 6 weeks
- 5 weeks
- 4 weeks
- 3 weeks
- 2 weeks
- 1 week
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
7 Weeks Discount
Price: -$125.00
Please sign up the above named student for the following weeks*
- Week 1: June 9-13 (no school on Wednesday the 11th)
- Week 2: June 16-20
- Week 3: June 23-27
- Week 4: June 30-July 3 (no school on Friday the 4th)
- Week 5: July 7-11
- Week 6: July 14-18
- Week 7: July 21-25
6 Weeks Discount
Price: -$100.00
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
5 Weeks Discount
Price: -$100.00
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
4 Weeks Discount
Price: -$100.00
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
Summer Plus fees:

Designed for students who require Before or After School Care:
$15 per day for AM Care (beginning at 6:30am)
$15 per day for PM Care (ends at 5:30pm)
I will need Morning Care for my child from 6:30am - 8:00am*
- yes
- no
I will need Afterschool Care for my child from 3pm - 5:30pm daily*
- yes
- no
Add another child?*
- yes
- no
Student Information
2nd Child's Name*
Grade Completed*
Please select the number of weeks that you want to sign up for child 2*
- 7 weeks
- 6 weeks
- 5 weeks
- 4 weeks
- 3 weeks
- 2 weeks
- 1 week
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
7 Weeks Discount
Price: -$125.00
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
6 Weeks Discount
Price: -$100.00
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
5 Weeks Discount
Price: -$100.00
Please sign up the above named student for the following weeks*
- Week 1: June 9-13 (no school on Wednesday the 11th)
- Week 2: June 16-20
- Week 3: June 23-27
- Week 4: June 30-July 3 (no school on Friday the 4th)
- Week 5: July 7-11
- Week 6: July 14-18
- Week 7: July 21-25
4 Weeks Discount
Price: -$100.00
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
Please sign up the above named student for the following weeks*
- Week 1: June 8-12
- Week 2: June 15-19
- Week 3: June 22-26
- Week 4: June 29-July 2
- Week 5: July 6-10
- Week 6: July 13-17
- Week 7: July 20-24
Summer camp application fee
Price: $50.00
Total
$0.00
Payment
Please remit half of the total tuition fees with registration form on or before May 24. The remainder of the balance owed is due on the first day of your child's summer session. Enrollment cannot be guaranteed for registration forms received without payment. No Refunds will be given once program begins. You may also use this link to make your secure payment online. Please indicate in the "Order Description" space, your child's name and number of weeks attending. https://hoala.diamondmindinc.com/ Mail or drop off forms with payment to: Ho`ala School 1067 A California Ave., Wahiawa, HI 96786
Signature*
Date*
Date Format: MM slash DD slash YYYY

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