<HTML><HEAD><TITLE>La 'Ohana IV Registration</TITLE>
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<H3>La 'Ohana IV/ Ho'omau i ka Ho'ilina Registration Form</H3></CENTER>
<P><b>Printout this page</b> and please complete and return the enclosed registration form with payment by May 5, 2001 to:  
<b>KSAA-East, P.O. Box 7531, Fairfax, Virginia 22039</b> or contact the Co-chairpersons if you have any questions--Gail Chun Faraon,
(703) 461-8966, e-mail: peraa@patriot.net and Kirk Durante, (703) 426-4921, e-mail: KirkLKDurante@aol.com or go to www.KSAA-East.org or
www.imua-kamehameha.net.  

<P>Name: ______________________________________________________ Age: ______ 
Size: ______ 
<P>Name: ______________________________________________________ Age: ______ 
Size: ______ 
<P>Name: ______________________________________________________ Age: ______ 
Size: ______ 
<P>(Indicate ages as required) Ages 6-12: $20; Ages 13 and older: $30; and a 
group rate is available. 
<P>Address: 
_____________________________________________________________________ 
<P>Phone: __________________________________ Email: 
______________________________ 
<P>Emergency Contact Person: __________________________ Number: 
__________________ 
<P>Adult Polo Shirts available at $15 each: __________ 
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<H4>KSAA Hold Harmless Statement</H4></CENTER>
<P>In the event of an injury, I hereby waive, release, hold harmless and 
indemnify the Kamehameha Schools Alumni Association - East Coast Region 
(KSAA-East), its officers, members and organizers and supervisors of this 
activity, from any liability for damages or claims for personal injury, 
including accidental death as well as any claim for property damage, or any 
claim which may arise in connection with this activity. 
<P>This form is completed on behalf of: (please print your name if this is 
for yourself or your child's name if you are the parent/guardian). 
<P>Print Name: ______________________________________ Date: ____/____/2001 
<P>Signature: ___________________________________________________________ 
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<H4>Kalua Pig and Portuguese Sausage Pre-order Form</H4></CENTER>
<P>Kalua Pig @ $5 per pound: __________ lbs X $5 = $__________ 
<P>Portuguese Sausage--3-7 oz. links for $10: __________ links X $10 = 
$__________ 
<P>Note: Pick up will be at the conclusion of La 'Ohana IV/Ho'omau i ka Ho'ilina 
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