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General Liko Registration

Liko provides educational assistance to youth ages 5-24 who need additional assistance in meeting their educational goals.

Educational assistance includes, but is not limited to:

  • Educational Personal Plans
  • Small group or Individual Tutoring
  • Assistance in finding the right curriculum for those who are choosing their own in homeschool methods
  • Assistance with communicating with schools, teachers, and others involved in participants’ educational goals
  • Additional resources for parents

Spaces are limited. Priority participants include:

  • Youth looking for additional help in gaining their GED or HISET diploma
  • Youth who have had difficulty in their previous school setting and needing more individualized help
  • Youth who have been diagnosed with learning differences, behavioral disorders, or mental health diagnosis

This form is also utilized for any activities with Maui Hui Malama participants and their parents/caretakers. 

Contact Information


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Background information

Maui Hui Malama is partly funded by the state, so we are required to ask this question for data reporting.
Maui Hui Malama is partly funded by the state, so we are required to ask this question for data reporting.
Maui Hui Malama is funded and requires us to ask this question. My keiki receives
Please select all that apply based on these options
Please select all that apply based on these options






Agreements

I hereby release, hold harmless, and indemnify Maui Hui Malama, its Board of Directors, employees and staff, from and against all claims, including but not limited to claims for property damage and/or personal injuries arising out of my child’s participation in MHM’s group, activities, or the rendering of any medical treatment. I understand that MHM will make reasonable attempts to notify me or the emergency contact as soon as possible in the event of illness or injury to my child to obtain authorization to administer necessary medical treatment. I further give consent to MHM to secure and authorize such medical treatment if MHM is unable to speak with me or the emergency contact for the above named child while under this supervision. I also agree to pay all costs and fees contingent upon receiving emergency medical care or treatment as secured or authorized under this content.
I hereby release Department of Education and any school or educational entity to release educational information that pertains to my child or me. I also authorize Department of Education and or any other institution to release any other pertinent information including transcript records to Maui Hui Malama and to communicate by telephone, paper, or electronic format.
I understand that any electronic equipment that has been provided as a loaner is done so for the purpose listed in my child's personal plan. Should there be any damage to the equipment I take responsibility of the cost to replace the equipment. I understand that the equipment must be returned upon completion of the personal plan needs unless otherwise agreed upon in writing with Maui Hui Malama.
I hereby give permission for Maui Hui Malama to use my or my child’s photo in but not limited to promotional materials including brochures, video, website, press release, TV, or radio ads.
By checking here I agree to receive emails, mail, and phone calls on information regarding this program as well as other information related to Department of Education, any school, and any educational entity and Maui Hui Malama
I confirm I am the legal guardian of the participant listed above or 18 years or older.