Required Enrollment Forms | KA HANA PONO HALEIWA

*Required Enrollment Forms*

Enrollment & Registration Contract

All new families are required to complete an enrollment and registration contract for all children attending Ka Hana Pono.

This form can be completed online via this link: Enrollment & Registration Contract; or
Let us know if you need a printable version.

While completing the online enrollment form you will have the option to upload all required enrollment forms.

Recurring Tuition Authorization Form

Monthly tuition will be processed automatically on the due date(s) based on the payment information provided on this form.

Link: Recurring Tuition Authorization Form

Health Requirements

Dept of Education Hawaii State Law requires all students to meet the following health examination requirements:

Tuberculosis Risk Assessment - this must be completed by a physician - or a Tuberculosis Test with results is required prior to enrollment.
A physical examination must be completed within one year before first attending school in Hawaii and must be performed by a U.S. licensed physician, APRN, or PA.
Immunization records are required. Click here to learn more about requirements and medical or religious waivers. Click here for a summary of immunizations highlighted in pink.

The following health forms must be completed by your child's physician and returned prior to his/her first enrolled day.

Link: Student Health Record (Form 14) and Early Childhood Pre-K Health Record Supplement (Form DHS 908) to include immunization records.

Link: TB Risk Assessment / Clearance Forms F and G or submit TB Test Results

COVID-19 / CORONAVIRUS

Link: COVID-19 / CORONAVIRUS HEALTH AND SAFETY RESPONSE PLAN

Links to Need Based Forms

Allergy Medical Plan

If your child has allergies that could require medical attention then there are two additional forms, one to be completed by the parent/guardian, the other to be completed by the childs physician.

Request for Exemption From Vaccination on Religious Grounds

Immunizations are required to be up to date based on the age of the child. Medical waivers are available from your child's physician. Religious/Personal waivers are available from the Department of Health; the form needs to be completed and signed by a parent.

Parent Custody Statement

When a child does not live with both biological parents and both parents are not available for signature, you may be asked to provide a parent custody statement. Note that a childcare center / preschool cannot refuse to release a child to the child’s parent or legal guardian who has or shares legal custody of the child. In most cases, both parents have equal custody rights unless a court or valid written separation agreement proves otherwise.

Financial Aid Forms (DHS and PATCH)

Links to Additional Documents

Daily Health Check

Healthy Habits

Illness Policy

Reminders of healthy habits and the centers sick policy.

Welcome Letter for New Families

General information about Ka Hana Pono

Digital Checkin / Checkout Process Using Brightwheel

Importance of Outside Play

Ensuring that all children can spend quality time outdoors.

Smooth Start - Transitioning

Here is some advice on how to ease this transition from Child Psychologist Joshua Sparrow (Assistant Professor at Harvard Medical School and co-author of Touchpoints 3-6). He’s also a former preschool teacher and someone whose work I refer to often and whose books I keep in our office.

Incident Report

Withdrawal Notification Form