Damien Summer Academy 2026 Registration Form
Once you have clicked "Enroll Now", you will be directed to the payment page. Registration is not confirmed until payment is submitted. Mahalo!
Student Information
Student Name
*
First and Middle Names
Last Name
Student Gender
*
Male
Female
Student Date of Birth
*
-
Month
-
Day
Year
Date
Current School Name (SY25-26)
*
SY 26-27 Grade Level
*
Please Select
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Ethnicity
*
Please Select
Asian
Black
Hispanic or Latino/a
Native American or Alaskan Native
Native Hawaiian or Pacific Islander
2+
Unknown
White
Religious Affiliation
*
Please Select
Catholic
Non-Catholic
Prefer not to answer
Does the student have an Individual Education Plan (IEP) or 504?
*
Please Select
Yes
No
If yes, please provide additional details
Does the student have any health or medical needs that the school should be aware of? A health form will need to be submitted prior to the start of the summer program
*
Please Select
Yes
No
If yes, please provide additional details
Which course are you interested in?
*
All About Wai (gr 5-6)
All About ʻĀina (gr 7-8)
Afternoon Weekly Sports Clinics (gr 3-5)
Afternoon Weekly Sports Clinics (gr 6-8)
AI & Coding (gr 9-12)
CTE Academy (gr 9-12). Addʻl info required.
Drivers' Education (HS). Must have driving permit prior to start of course.
Dual Credit (gr 11-12) - Hawaiian Studies 107. Addʻl info required.
Dual Credit (gr 11-12) - Speech 151. Addʻl info required.
Health (gr 9-12)
Hula (gr 9-12)
Internships (gr 11-12)
Math* (HS)
Math Boost (gr 7-8, by invite only)
PE (gr 9-12)
Reading Boost (gr 7-8, by invite only)
SAT Test Preparation (gr 9-12)
Reason for Summer Academy Enrollment
*
Please Select
Credit Recovery
Academic Support / Skill Building
Advancement / Enrichment
Dual Credit
Career Technical Education experience
Internship
Recommended by Teacher or Counselor
Other
Parent/Guardian Details
Primary Parent/Guardian Name
*
First Name
Last Name
Relationship to Student
*
Primary Parent/Guardian Email Address
*
Primary Parent/Guardian Phone Number
*
Format: (000) 000-0000.
Primary Parent/Guardian OPT-IN for Emergency Alerts (text only)
*
Please Select
Yes
No
Primary Parent/Guardian Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Parent/Guardian Name
First Name
Last Name
Secondary Parent/Guardian Relationship to Student
Secondary Parent/Guardian Email Address
Secondary Parent/Guardian Phone Number
Format: (000) 000-0000.
Secondary Parent/Guardian OPT-IN for Emergency Alerts (text only)
Please Select
Yes
No
Secondary Parent/Guardian Home Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name (other than Primary/Secondary Parent/Guardian
*
First Name
Last Name
Emergency Contact Phone Number
*
Format: (000) 000-0000.
Any additional comments or information you would like to share?
Student Commitment
*
Student Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Parent/Guardian Agreement & Technology Acceptable Use Agreement
*
Parent/Guardian Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Comments
Once you have clicked "Enroll Now", you will be directed to the payment page. Registration is not confirmed until payment is submitted. Mahalo!
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