Rainbow Schools Enrollment Application
Child's Name
Birthdate
Home Address
Mailing Address
Home Phone
Date of Birth
Mother's Name
Date of Birth
Employer Name
Occupation
Bus. Phone
Ext.
Cell Phone
Father's Name
Date of Birth
Employer Name
Occupation
Bus. Phone
Ext.
Cell Phone
Child's Physician
Phone
Medical Insurance Carrier
Phone
Allergies
Which School and Program are you applying for?
School and Program
Kahuku 7:00-3:30
Kahuku 7:00-5:00
Kaneohe 6:30-12:00
Kaneohe 6:30-2:30
Kaneohe 6:30-4:00
Kaneohe 6:30-5:30
Honolulu 6:30-5:00
Mililani 7:00-2:30
Mililani 7:00-5:00
Wahiawa 6:30-3:00
Wahiawa 6:30-5:30
Tuition payment will be made by:
Payment made by
Parent
Child Care Connection
Open Doors
First-to-Work
Pauahi Keiki Scholars
Alu Like