Navy Region, Hawaii, Child Youth Program (CYP)

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Parent/Guardian Account Information

Only eligible patrons may apply. Please enter your parent/guardian information. You will enter your children's information at a later time.

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First Name*
Last Name*
Confirm Email*
Street 1*
Street 2
Cell Phone*
In this next section you will need to fill out a set of questions for each camp and each week that you register your child. Each week of camp is a separate program. This valuable information is provided for your child's welfare and safety. Mahalo for your patience.
Two on-island emergency contacts are needed:
Emergency Contact 1 Name: *
Emergency Contact 1 Phone : *
Emergency Contact 2 Name:*
Emergency Contact 2 Phone:*
Photo / Video Release Authorization Form*

Walking Field Trips / Buggy Rides Authorization Form *

Non-Walking Field Trips / Transportation Authorization Form *

Sunscreen Authorization Form *

Insect Repellent Lotion Authorization Form *

Sunscreen and Lotion Application Authorizations Form I hereby waive the application of program provided sunscreen and lotion. I will provide my own lotion(s).*
Sponsor's name *
Home phone *
Parent cell phone *
Command *
Duty Station *
Duty phone *
Date of Rotation *
Rank/Rate *
Branch *
Status *
Sponsor Category*
Spouse's Name
Spouse's place of employment
Phone Number
Spouse's Cell Phone
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