First Name * Last Name * E-mail Address * Home Phone Cell Phone Home Address (line 1) Home Address (line 2) City Duty Station Please select Kadena Air Base Camp Foster Camp Lester Futenma MCAS Camp Hansen Camp Schwab Camp Courtney Camp Kinser Torii Station White Beach Other Desired Enrollment Date: # of Children * 0 1 2 3 4 5+ Child 1's name and Age * Type of Service for Child 1 * Please select Before School Daycare School Afterschool Multiple Hours Other Child 2's name and Age * Type of Service for Child 2 * Please select Before School Daycare School Afterschool Multiple Hours Other For additional children, please resubmit this form again, or put additional children's name, age, and type of service in the "Other info" box below. Other info (Please enter any additional info, message, or questions) *
