MILILANI REGISTRATION FORM

MILILANI (District Park)
Class Registration Request Form

Please identify your first and second choices for the class in your email when applying for the course.

Class size is limited and there are usually more applicants than space. The class instructor will notify you by email if we have a space for you in a class.

Therefore, please indicate your first and second choices for class times. When class enrollment is finalized, your instructor will send a confirmation email with additional registration information.

**Mililani (District Park) classes will be on Thursday, September 11 - October 30, 2025 (8 weeks)

94-1150 Lanikuhana Avenue, Mililani, Hi 96789

CLASS TIMES

Safe Falling Foundation Class, M18A, 9:00 – 9:50 am (8 weeks)

Safe Falling Refresher Class M18B, 10:00 – 10:50 am (4 weeks)

FOUNDATION CLASS

REFRESHER CLASS

Please Choose Your First Choice For A Class Time

Please Choose A Second Class Time If Your First Choice Isn't Available

Full Name

Phone

MAILING ADDRESS

Street Address

City

Region/State/Province

Postal / Zip code

Thanks for registering. We will be in contact with you soon!

MILILANI (District Park) Class Registration Request Form

MAILING ADDRESS

MILILANI (District Park)
Class Registration Request Form