YWCA Kokokahi 7-Class Punch Card Pilot Registration Form
Mahalo for your interest in our Kokokahi classes! This pilot program allows participants to attend up to 7 classes within one calendar month using a punch card system. Some classes are free, while others require an active Kokokahi membership.Please complete the form below to register.
Full Name
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First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Kokokahi Membership Requirement
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I am already a Kokokahi member
I am not a Kokokahi member
Which classes would you like to register for? (Dropdown or multiple choice)
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Functional Fitness- Monday, Thursday, Friday 9:30 AM-11:30AM
Tai Chi for Arthritis-Tuesdays 9:00AM-10:00AM (Membership Required)
Midday Yoga Friday-12:00PM-1:00PM
What Date do you plan on starting? This Pilot runs June 2026-August 2026 Monday-Friday between 9:00AM-5:00PM
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Month
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Day
Year
Date
Which month are you registering for?
Please Select
June 2026
July 2026
August 2026
Comments
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Agreement & Acknowledgment: Please confirm the following
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I understand this is an introductory pilot program offered by YWCA Kokokahi
I understand I will receive a 7-class punch card, and once all 7 classes are completed, I will return my card to staff and may be invited to continue participation through a Kokokahi membership
I understand my punch card is only valid for the calendar month I register in, and all classes must be completed within that month
I understand that unused classes do not roll over and are not transferable
I understand that Tai Chi for Arthritis require an active Kokokahi membership ($50/year) and participation in these classes will require membership
By signing below, I confirm that I have read and understand the Agreement and Acknowledgments listed above and agree to the terms of the Kokokahi 7-Class Punch Card Pilot Program.
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