*Required Fields (privacy policy) *First Name: *Last Name: *Mailing Address: Home Phone: Cel Phone: *Email: Event: Select a Program... Return of I'o & Rising of Mu 10-Day HI Seawater Cleanse 5-Day HI Seawater Cleanse Makana Aloha Empowerment Tane I Ta Wai Ola Ho'oponopono i ta Pu'uwai Starting Date of Event MM DD YYYY Location of Event: Method of Payment: Select method of payment... PayPal on Website Mailing Cashiers Check Mailing Local Check Emergency Contact: Payment Amount: Check here if you have activated your monthly membership Emergency Phone: Special Needs, Medical Conditions or Comments *REGISTRANT Accepts RESPONSIBILITY FOR OWN SAFETY CONCERNING TRAVEL TO SACRED SITES AND/OR PARTICIPATION IN OCEAN ACTIVITIES along with All Activities with the Kahuna Lapa'au 'O Hawai'i. I APPROVE USE OF PHOTOGRAPHIC IMAGE AS IT MAY BE APPLICABLE TO FUTURE TEACHING AND/OR PROMOTION. By submitting this form, I affirm that all statements are true. Questions: Kindly contact Barbara Kaililokelani (808) 878-8330 or Direct to KumuOla Leina'ala (808) 961-3118 - Volcano: (808) 967-7781
*Required Fields (privacy policy)
*REGISTRANT Accepts RESPONSIBILITY FOR OWN SAFETY CONCERNING TRAVEL TO SACRED SITES AND/OR PARTICIPATION IN OCEAN ACTIVITIES along with All Activities with the Kahuna Lapa'au 'O Hawai'i.
Questions: Kindly contact Barbara Kaililokelani (808) 878-8330 or Direct to KumuOla Leina'ala (808) 961-3118 - Volcano: (808) 967-7781
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