Sales Have Ended

Ticket sales have ended
Please Bring WAIVER, REGISTRATION (pg 3 & 4) on Monday, Oct. 7th 9 am. Call 822-0881 for any questions or concerns. We look forward to serving you in the future. Mahalo! Acknowledgement of Risk/Waiver and Release Participants Name: ______________________________________ Date of Birth: ____________ Address: ________________________________ Phone: _____________________________ Kauai Animal Education Center operating at Kulana (herein, KAEC) I, _____________________________________, acknowledge that I understand that KAEC is a working farm, with the attending inherent risks, and hereby release and discharge KAEC, its owners, employees, volunteers or agents from any and all liability arising from accident, injury, theft, or damages that may be sustained by me, or to any property belonging to me, while visiting KAEC. I further agree that I will not sue KAEC, its owners, employees, volunteers or agents for any liability arising from accident, injury, theft, or damages that may be sustained by me, or to any property belonging to me, while visiting KAEC. This waiver shall continue for every visit by me to KAEC. Signed: _________________________________ Date: _________ Printed Name: _____________________ Permission to Use Photograph Name: _____________________________________________ I grant to Kauai Animal Education Center, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Kauai Animal Education Center, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Kauai Animal Education Center may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above: Signature, parent or guardian _______________________________________________________________ (if under age 18) Printed name ____________________________________________________________ Address ______________________________________________ Date ____________________________ KAEC Fall Enrichment Program Participant Registration Form(all fields required -Please return waiver) Full Name: ____________________________________________________________________ Male ____Female ___ Nick Name: ___________________Participant Date of Birth: _____________________ Age during camp: ___________ Address: _______________________________________ City: _________________ State: _______ Zip:___________ Guardian Name: __________________________________________________________________________________ Phone number: __________________________ Alternative Phone number: ______________________ Guardian Email: _______________________________________________________________________ Is this child allergic to anything? __________ if yes, explain: _______________________________________________ Is this child currently taking medication? ________ if yes, explain: __________________________________________ Does this child have special needs*? ________ if yes, explain: ______________________________________________ *Programs are provided for people of all abilities. If there is need for reasonable modification, please answer YES above and speak to a manager prior to the start of the camp. Each request will be assessed in compliance with the ADA. Emergency Contacts (when attempts to reach parents are not successful and who may pick child up) Name#1:_______________________________________________________________________________________ Phone Numbers: Cel:___________________________________ Work______________________________________ Name#2:________________________________________________________________________________________ Phone Numbers: Cel: ___________________________________ Work______________________________________ ____ Same As Above - Person’s Authorized to pick child up Name:__________________ Phone Number:_____________ Name:_________________ Phone Number:___________ We must have written permission for anyone other than parent/guardian to pick child up from the center. Child’s Usual Source of Medical Care Physician’s Physicians Name:___________________________________________ Phone #:_________________________________ Address:______________________________________________________________ Child’s Health Insurance Name of Insurance Plan:_________________________________________________ Certificate Number (or ID) #:______________________ Group #: _______________ Policy Holder’s Name:___________________________________________________ Special Conditions, Disabilities, Allergies, or Medical Information for Emergency Situations: ____________________________________________________________________________________________ ____________________________________________________________________________________________ Parent/Legal Guardian Consent and Agreement for Emergencies As parent/legal guardian, I give consent to have my child receive first aid by facility staff, and, if necessary, be transported to receive emergency care. I understand that I will be responsible for all charges not covered by insurance. Date:__________ Parent/Guardian #1 Signature____________________________________ Date:__________ Parent/Guardian #2 Signature____________________________________

Event Information

Share this event

Date and Time

Location

Location

Kauai Animal Education Center

Kaapuni Rd

Kapaʻa, HI 96746

View Map

Refund Policy

Refund Policy

No Refunds

Sales Have Ended

Ticket sales have ended
Please Bring WAIVER, REGISTRATION (pg 3 & 4) on Monday, Oct. 7th 9 am. Call 822-0881 for any questions or concerns. We look forward to serving you in the future. Mahalo! Acknowledgement of Risk/Waiver and Release Participants Name: ______________________________________ Date of Birth: ____________ Address: ________________________________ Phone: _____________________________ Kauai Animal Education Center operating at Kulana (herein, KAEC) I, _____________________________________, acknowledge that I understand that KAEC is a working farm, with the attending inherent risks, and hereby release and discharge KAEC, its owners, employees, volunteers or agents from any and all liability arising from accident, injury, theft, or damages that may be sustained by me, or to any property belonging to me, while visiting KAEC. I further agree that I will not sue KAEC, its owners, employees, volunteers or agents for any liability arising from accident, injury, theft, or damages that may be sustained by me, or to any property belonging to me, while visiting KAEC. This waiver shall continue for every visit by me to KAEC. Signed: _________________________________ Date: _________ Printed Name: _____________________ Permission to Use Photograph Name: _____________________________________________ I grant to Kauai Animal Education Center, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize Kauai Animal Education Center, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Kauai Animal Education Center may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. I have read and understand the above: Signature, parent or guardian _______________________________________________________________ (if under age 18) Printed name ____________________________________________________________ Address ______________________________________________ Date ____________________________ KAEC Fall Enrichment Program Participant Registration Form(all fields required -Please return waiver) Full Name: ____________________________________________________________________ Male ____Female ___ Nick Name: ___________________Participant Date of Birth: _____________________ Age during camp: ___________ Address: _______________________________________ City: _________________ State: _______ Zip:___________ Guardian Name: __________________________________________________________________________________ Phone number: __________________________ Alternative Phone number: ______________________ Guardian Email: _______________________________________________________________________ Is this child allergic to anything? __________ if yes, explain: _______________________________________________ Is this child currently taking medication? ________ if yes, explain: __________________________________________ Does this child have special needs*? ________ if yes, explain: ______________________________________________ *Programs are provided for people of all abilities. If there is need for reasonable modification, please answer YES above and speak to a manager prior to the start of the camp. Each request will be assessed in compliance with the ADA. Emergency Contacts (when attempts to reach parents are not successful and who may pick child up) Name#1:_______________________________________________________________________________________ Phone Numbers: Cel:___________________________________ Work______________________________________ Name#2:________________________________________________________________________________________ Phone Numbers: Cel: ___________________________________ Work______________________________________ ____ Same As Above - Person’s Authorized to pick child up Name:__________________ Phone Number:_____________ Name:_________________ Phone Number:___________ We must have written permission for anyone other than parent/guardian to pick child up from the center. Child’s Usual Source of Medical Care Physician’s Physicians Name:___________________________________________ Phone #:_________________________________ Address:______________________________________________________________ Child’s Health Insurance Name of Insurance Plan:_________________________________________________ Certificate Number (or ID) #:______________________ Group #: _______________ Policy Holder’s Name:___________________________________________________ Special Conditions, Disabilities, Allergies, or Medical Information for Emergency Situations: ____________________________________________________________________________________________ ____________________________________________________________________________________________ Parent/Legal Guardian Consent and Agreement for Emergencies As parent/legal guardian, I give consent to have my child receive first aid by facility staff, and, if necessary, be transported to receive emergency care. I understand that I will be responsible for all charges not covered by insurance. Date:__________ Parent/Guardian #1 Signature____________________________________ Date:__________ Parent/Guardian #2 Signature____________________________________
Event description
Learning by engaging with over 12 friendly animal species in a beautiful, fun and safe environment. Space is limited.

About this Event

Programs are designed for haumana ages 8-14.

Haumana will spend a week learning and engaging with friendly animals as they gain applicable knowledge in animal husbandry skills, team building, leadership skills, activities, games and much more.

Unique opportunities to gain life lessons in a safe, nurturing environment with new and old friends. Learning and having fun doesn't get better than this!

Date and Time

Location

Kauai Animal Education Center

Kaapuni Rd

Kapaʻa, HI 96746

View Map

Refund Policy

No Refunds

Save This Event

Event Saved