Hawaii Program Application

Please fill in the details below.

    Name(Parent)(Required)

    Birthday(YYYY/MM/DD)(required)

    Accompanying child?(required)

    Child name1(required)

    Child's age(required)

    Child's name 2

    Child's age

    Childs's name 3

    Child's age

    E-mail(required)

    Tel. (required)

    Price Option(required)
    Program participation fee+Lodging fee+Insurance fee+Return ticketsProgram participation fee+Lodging fee+Insurance fee

    Questions

    I have confirmed the above information is accurate