Kaula Registration

Hōlua & Kaula Workshop

Creation of natural cordage and learning to lash hōlua, heʻe hōlua, hānai hōlua
Workshop Details:

Dates: June 23 - 24, 2026

Times: 8am - 4pm

Location: Hoʻakā Mana 61 Ala Malama Ave #4 Kaunakakai HI 96748 + Huakaʻi (Locations: Various Stops - Halawa and *Meyer Lake)
Registration Form

Please complete this form to register for this Kīʻapu event in partnership with Hoʻakā Mana. All fields marked with an asterisk (*) are required.
Participant Information
Full Legal Name

First NameLast Name
Preferred Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Age Confirmation
Are you 18 or older?
Parent/Guardian Information

Because the participant is under 18, a parent or legal guardian must provide the following information and complete the consents on this form.
Parent/Guardian Full Name
Relationship to Participant
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Emergency Contact

Please list someone who is NOT attending this event.
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Alternate Phone
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information

This information helps our team keep participants safe during events.
Acknowledgement of Risk:

I understand that participation in program activities may involve physical activity, travel, and other risks. I voluntarily choose to participate and assume responsibility for my own safety. I agree to follow all safety instructions provided by program staff, partners, and host site supervisors while participating in activities.

Waiver of Liability:

In consideration of being allowed to participate in the Kīʻapu Program, I release and hold harmless Partners in Development Foundation (PIDF), its employees, agents, volunteers, transportation providers, host sites, and partner organizations from liability for any injury, illness, accident, or damages that may occur during program activities, except in cases of gross negligence or intentional misconduct.

Emergency Medical Authorization:

In the event of an emergency, I authorize program staff, partners, or host site supervisors to seek medical care for me (or my child, if under 18). I understand that I (or my parent/guardian if under 18) am responsible for any related expenses.
Medical Release and Authorization
Signature - Medical Release
Allergies (food, medication, environmental) *If applicable*
Medical conditions we should be aware of *If applicable*
Current Medications *If applicable*
Dietary Restrictions *If applicable*

Media Consent

In Partnership with Hoakā Mana and PIDF, we are required to have 2 media consents.
Media Consent - PIDF
Program Participant and Caregiver Release Form Interviews, Emails, and Text Messages, Photograph, Videos and Voice Recording I understand that Partners in Development Foundation (PIDF) uses interviews, email and text messages, photographs, videos, and voice recordings of participants taken during preschool, school, and other related events as a means of education, evaluation, documentation, and to raise public awareness of its services.

I authorize PIDF and its designated agents, to interview, photograph, record, film, and videotape me and/or the minor children in my care.

I further authorize PIDF to use, televise, and publish (in print or on the Internet, including Facebook and other social media) such interviews, email and text messages, photographs, videos, and voice recordings for any purpose which PIDF deems suitable and which is consistent with the mission of PIDF. I agree that no representations or warranties have been made regarding the purpose or use of my interviews, email or text messages, photographs, videos, or voice recordings, except for those set forth in this release.

On behalf of myself, my heirs, executors, administrators, legal representatives, and assigns, I release and forever discharge PIDF and its Board of Directors, officers, agents, and employees from any and every claim, demand, action, in law or equity that may arise as a result of PIDF’s use or publication (through print, Internet, or television) of its interviews, email or text messages, photographs, voice recordings, films, or videotapes of me and/or the minor children in my care.

I further state that I have carefully read the terms of this release. I understand that I am signing a complete release and bar to any claim resulting from PIDF’s use or publication of interviews, email or text messages, photographs, voice recordings, videos and other forms of media described herein of me and/or the minor children in my care.

I further understand that this release shall survive the termination of my relationship with PIDF for all media described herein and created during said relationship.
Media Consent - PIDF
Confirmation

By acknowledging and signing below, I understand that my electronic signature carries the same legal effect and validity as an original handwritten signature. The electronic signature will be equally binding as a manual paper signature. If the participant is under 18 years of age, a parent or legal guardian must provide the required signature. If the participant is 18 years of age or older, the individual may self-sign this form.
Signature

Media Consent - Hoakā Mana
HOʻAKA MANA | NATIVE HAWAIIAN ORGANIZATION
STRENGTHENING INDIGENOUS IDENTITY | 501(c)3
Mālama kekahi i kekahi me ka hō’ā mālama. Strengthening indigenous identity as a community to thrive in adversities; sustainably through skill-sets, self-sovereignty, and healing.
PO BOX 482278 || Kaunakakai, HI 96748 || Locations: Molokai & O’ahu || HoakaMana.org || @Hoakamana

Hoʻaka Mana would like to take photographs and/or videos of participants to illustrate and document program activities. Photographs and/or videos may be published for legal use, including but not limited to: meetings, presentations, publications, websites, newsletters, advertising, and social media. Photographs/videos will not be used to generate profi t, nor will they be used in a negative manner.

Before taking and publishing any photographs or videos of you, we need your permission.

Please review the following options, then sign and date below.
Media Consent - Hoakā Mana

I give Hoʻaka Mana and their agents my permission to use photographs and/or videos of me for any lawful purpose. I grant them the right to use the photograph and/or videos to illustrate program activities in educational, instructional, and publicity materials, including meetings, presentations, publications, websites, newsletters, advertising and social media. I hereby release and discharge Hoʻaka Mana from any and all claims, demands, and causes of action that I or my child have or may have by reason of this authorization or use of my or my child’s photograph or video.
Name

First NameLast Name
Signature
Date

MonthDayYear
Date