Chaminade University of Honolulu

Undergraduate Event Registration Chaminade Experience

Required fields indicated by *
Form Description

This form is used throughout the year for our Chaminade Experience or when we have two events with open registration.

General Information
First Name *
Last Name *
Home Phone *
Emergency Phone *
Email *
Street Address *
City *
State *
Zipcode *
High School *
Graduation Year *
Intended Major *
Number of additional people in your party *
Additional Information


I hereby give my consent for medical treatment to be given as may be deemed necessary by a physician in the event of injury or accident. I understand Chaminade University will not be held liable or responsible for any financial obligation incurred related to medical treatment. I understand an immediate attempt will be made to contact persons at my home residence in such an event.

Signature must be made by a parent or legal guardian if student is a minor, or student if 18 years of age or older.

Signature *
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