Pono’s City To Sanctuary Admissions

For Returning students

We are very excited to have your child continue with our City to Sanctuary program!

You have already submitted the two parts of our Admissions Application: The first part is the Enrollment Forms. These forms do not need to be updated. The second part is about Health Related Information and Emergency Contacts. Please submit below any updates to your child’s health and emergency contacts.

Health Related Information and Emergency Contacts

Child's Name

First Name

Last Name

Does your child have any NEW medical issues of which we should be aware?

Does your child have any NEW food allergies?

Does your child follow any NEW special diets or have any NEW food restrictions?

Emergency Contact Updates

NEW Emergency Contact

Leave blank if you don't wish to add a new emergency contact.

Name

First Name

Last Name

Mobile Phone

(###)

###

####

Other Phone

(###)

###

####

Emergency Contact CHANGE

List the name(s) of emergency contact whom you wish to take off your child's list. Leave blank if you wish to keep the emergency contact list as is.

Child's Doctor's UPDATES

Leave blank if you don't wish to update any of your child's doctor's information.

Child's Doctor's Name

First Name

Last Name

Doctor's Phone

(###)

###

####

If none of the above can be reached by phone, what do you wish Pono to do in case of an emergency?