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Acknowledgment of Outing Member Responsibility, Express Assumption of Risk, and Release of Liability
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List all minors separated by a comma.
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Let us know to expect you:
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Enter the location you are planning to attend.

Identify the date that you will be attending. This waiver is good for one year.
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What is the reason for this particular visit?
Native Hawaiian Ancestry
This information will remain secure. HILT will never share your personal information outside the organization. We collect the data and report, in aggregate, the impacts of our work on Native Hawaiian communities throughout the islands. HILT seeks this information because it is important to us to connect the Native Hawaiian community with land under our stewardship. Additionally, some of our funding sources, such as the Office of Hawaiian Affairs, require that we track Native Hawaiian participation in some of our programs.
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Please indicate if you or your minor(s) covered by this form are of Native Hawaiian ancestry
Contact Information
Your Contact Information as Parent/Guardian:
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First Name
Last Name

Please let us know if you are part of a particular attending group.
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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