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Activity Request

Please complete the form below. Required fields marked with an asterisk *

Coordinators MUST be a Kealakehe High School Staffulty member.

Contact Information

Coordinator's First Name*

Answer Required

Coordinator's Last Name*

Answer Required

Email*

Answer Required

Work Phone*

Answer Required

Name of Activity*

Answer Required

Requested Date*

Answer Required

Requested Start Time*

Answer Required

Requested End Time*

Answer Required

Location*

Answer Required

Short Description of Event*

Answer Required

Confirmation Email

Confirmation Email *

Email Required