Youth Challenge Academy

Serving Hawai’i Island, Maui County, Kauai, and select schools on Oahu

Orientation Sign Up - Hilo

Get signed up for orientation or more info.

Parent/Guardian Name
Prefix First Last
Phone
Address
Street Address Address Line 2 City State ZIP Code
Email
Child Information
Child: Name
First Last
Child: Gender
- Male
- Female
Child: Date of Birth
MM slash DD slash YYYY
Last High School Attended
How did you hear about the program?