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2023 HAWAII YIP FEMALE REGISTRATION FORM

Please use this form to register for the 2023 Hawaii Youth Impact Program at the University of Hawai'i Mānoa July 6-15 (no program on July 9)

YOUTH INFORMATION

Gender(Required)
Address(Required)
MM slash DD slash YYYY
Is the youth participant of Hawaiian decent?
Does the Youth Participant have knowledge of STEM?(Required)
If none, please write none or n/a

Parent Guardian Information

Emergency Contact information

Statement of Responsibility:

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