“One of the best educations we can ever receive is through travel. The world is our classroom, and experience is our teacher.”
- Guga Tosi, Po’ohala Ventures Founder & Director

Please fill out the form below if you are interested in joining us in one of our travel experiences, and one of our staff volunteers will reach out to you!

Travel Pre-Registration Form

What trip are you pre-registering for?

PLAYER INFORMATION

Player's Name

First Name

Last Name

Player's Date of Birth

YYYY

Player's Personal Phone

***Leave blank if the player doesn't have a personal phone. Parent/Guardian Information will be asked on the following section.

(###)

###

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Player's Personal Email

***Leave blank if the player doesn't have a personal email. Parent/Guardian Information will be asked on the following section.

Player or Family Primary Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PARENT/GUARDIAN INFORMATION

Primary Parent/Guardian's Name

First Name

Last Name

Primary Parent/Guardian's Phone

(###)

###

####

Primary Parent/Guardian's E-mail

Primary Parent/Guardian's Relationship to Player

Secondary Parent/Guardian's Name

First Name

Last Name

Secondary Parent/Guardian's Phone

(###)

###

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Secondary Parent/Guardian's E-mail

Secondary Parent/Guardian's Relationship to Player

ADDITIONAL INFORMATION

Player's Shirt Size

How did you hear about Po'ohala's Travel Opportunities?

Please describe the player's travel experience?