KA MOLOKAI MAKAHIKI

Only a LEGAL PARENT or GUARDIAN is allowed to sign this form. We will not accept forms signed by anyone besides a LEGAL PARENT/GUARDIAN. Any waiver found to be signed by an unauthorized person/individual will result in an invalid waiver submission and an automatic disqualification from competing in this years’ event.

Also, we will not be accepting ANY PHYSICAL/PAPER FORMS.

All waivers are to be completed and

sumbitted digitally by DECEMBER 31, 2026

in order for your child to participate in Ka Molokai Makahiki 2027.

After submission, the details of this form will auto transfer to a Google Sheets log which can only be viewed by members of the Ka Molokai Makahiki board. The log allows us to filter and search for each student by name, grade, school, etc. which helps us to keep track and confirm waivers properly submitted for participation so please enter student's information CORRECTLY.

SECTION A: PARTICIPANT INFO

SECTION B: PARENT/GUARDIAN INFO 

Media Waiver & Release & Permission for Publication: We/l understand and agree that my child's work (created or otherwise generated) & photo while in Makahiki Events could be published on the Internet at the sole discretion of Ka Molokai Makahiki, Molokai Digital Bus, & the Maui County OED & ʻŌiwi Resources. We/l understand and agree that my child's picture or video footage taken while participating in Ka Molokai Makahiki could be published either in print (i.e. brochures, fliers, newspaper) and/or on the Internet at the discretion of Ka Molokai Makahiki, Molokai Digital Bus, & the Maui County OED & ʻŌiwi Resources. I/we also hereby give permission to photograph, film, tape, or otherwise record myself - my/our child's name, voice, and/or person and understand that there will be no financial or other remuneration of photographs, news releases, open-circuit (broadcast), closed- circuit, and/or cable television transmission and any other media releases of myself - my/our child to publicize Ka Molokai Makahiki within or outside of the State of Hawaiʻi in perpetuity either for initial or subsequent transmission or playback. No home address or telephone number will appear with such work or media. Children appearing in a group photo will not be identified individually. On my/our behalf and on behalf of my/our child, I/we agree to waive and release Ka Molokai Makahiki, Molokai Digital Bus, & the Maui County OED & ʻŌiwi Resources, any & all partnering programs, contractors, & funding sources (its board members, officers, directors, employees, and agents) and agree not to sue any such person for any claims arising from the publication of my/our child's work or image generated while I/she/he participates in Ka Molokai Makahiki as set forth in this waiver form.

General Waiver & Release:  I/we give permission for my/our child to participate & be transported in a non-school vehicle (as deemed necessary) and therefore waive Ka Molokai Makahiki, Molokai Digital Bus, & the Maui County OED & ʻŌiwi Resources' liability for responsibility. I/we give permission in case of accident or need for medical attention to transport my/our child to the doctor, dentist, or emergency medical facility and consent and authorize a medical professional and others working under their supervision to provide medical treatment for any injury or illness arising from, or related to, his/her participation in this event. I/We understand that Ka Molokai Makahiki, Molokai Digital Bus, & the Maui County OED & ʻŌiwi Resources does not provide health insurance or compensation or otherwise indemnify individuals with respect to injuries or other liabilities arising out of participation in this event. I/we further agree to pay any and all medical expenses, costs, and other charges arising from or connected with such medical treatment or care for the participant listed above. On my/our behalf and on behalf of my/our child, I/we agree to waive and release Ka Molokai Makahiki, Molokai Digital Bus, & the Maui County OED & ʻŌiwi Resources , any & all partnering programs, contractors, & funding sources, (its board members, officers, directors, employees, and agents) and agree NOT to sue any such person for any claims arising from an accident/incident/illness that arises from participating in its events. We/l have read and fully understand the PARTICIPATION WAIVER FORM and agree to be bound by, and to comply therewith.

After filling in all required information click the purple CONTINUE button at the bottom of this page which will take you to a preview of your waiver submission. Please review participant information before continuing to next step.

After review, the last step is to click the blue SIGN DOCUMENT button at the bottom of the screen that pops up which will finalize this submission.

Pictured below is an example of the exact message you will receive when the completed waiver has been successfully submitted.

Mahalo!