Hui 'O Hawai'i of Yuma Membership Form

First Name
Last Name
Your E-mail
Zip Code
Date Of Birth / /
Spouse Name
Child-1 Name/Age
Child-2 Name/Age
Child-3 Name/Age
Child-4 Name/Age
Do you want to Join the Hui'O Hawai'i of Yuma? (Please indicate yes or no)
Do you want to volunteer for a position in the
Hui'O Hawai'i of Yuma?
Please describe experience with chosen position/s.
Do you have hidden talents in these areas?:
Dance (Hula), Singing, Playing and Instrument, Cooking, Internet, Web Design,
Disc Jockey, Desktop Publishing, Computer Abilities, Legal Expertise, Eating,
Newsletters, Fund Raising, Charitable Organizations, Event Coordination,
Other applicable abilities (please explain)
If so tell use about you abilities:
Any additional comments, recommendations,
questions or areas of concern? Please use this space.

Security Code*

HTML PHP contact form generator