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Unfortunately, registration is full. Please complete the form below to join our waitlist. If a position opens up and we are able to pull your child off the waitlist, we will reach out to you with additional information!
If you have already registered and need the waiver forms: 2025 Hawaii Youth Impact Program Waiver Forms

2025 HAWAII YIP BOYS WAITLIST

Please use this form to register for A WAITLIST POSITION for the 2025 Hawaii Youth Impact Program at the University of Hawai'i Mānoa June 16-27 (Mon. - Fri.) You will be notified if a spot opens up

YOUTH INFORMATION

Gender(Required)
Email(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

Secondary Contact information

If we cannot reach the primary parent/guardian, who should we contact in the case of an emergency?

Statement of Responsibility:

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