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Ho'omau Fire Academy, A 501(c)(3) Nonprofit Organization

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Cadet Application Form

You are here: Home1 / Forms2 / Cadet Application Form

Class *

010 (Hilo) - Jun 23 - 29
011 (Honolulu) - July 15 - Aug 25
012 (Honolulu) - Oct 26 - Dec 7

Gender *

Male
Female
Other

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Phone Number *

(111) 222-3333

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Date of Birth *

Age *

Email *

T-Shirt Size *

Parent/Legal Guardian Information, if under the age of 18:

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Parent’s or Guardian’s names

Parent’s or Guardian’s Address *

Address Line 1

City

State

Zip Code

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I, ________________________ grant permission and consent for my son/daughter to fully participate in the Ho‘omau Fire Academy

Parent’s or Guardian’s Phone

Questions

1. Do you have any medical conditions or injuries? If Yes, please verbally inform a Ho‘omau Fire Academy Instructor. *

Medical conditions or injuries *

2. Are you currently taking any prescribed medications or allergic to any medications. If Yes, please list below: *

Prescribed medications or allergic to any medications *

3. Is there any physical or mental disabilities thal may prohibit your ability to safely participate? If Yes, please verbally inform a Ho‘omau Fire Academy lnstructor. *

Please list any physical or mental disabilities *

I agree to submit a short video introducing myself as part of my application to the Academy. *

I confirm that all information and statements contained in the Cadet Application Form are true and complete and does not omit any information necessary to make such information and statements not misleading to HFA.

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Cadet (Signature) *

Signature of parent or legal guardian, if under 18 years of age

Cadet Enrollment Video Upload *

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To do so, please follow these instructions.

Add your files

Or select a folder

Files
Folders

Your Video must state why you want to be in the Ho'omau Fire Academy and what you expect to get out of it.

Date *

Name *

First

Last

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CONTACT US

Ho’omau Fire Academy

P.O. Box 894352

Mililani, HI 96789

Email: reid@hoomaufireacademy.org
Phone: (808) 255-9253

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