Scholarship Luncheon Registration Form

The luncheon will be held from 11:30 a.m. to 1 p.m. on Monday, November 9 at the Japanese Cultural Center of Hawai‘i, Manoa Grand Ballroom.

Registration Form: (*= Required field)
First Name*
First name
Last Name*
Last name
Gender*
Address*
Address Line 1
 
City
State
Zip Code
Email*
johndoe@example.com
Phone*
555-555-1234
Student Type
Meal Selection
 
Specify other dietary needs here, if applicable.
Submit Cancel