This is the registration form for the 2026-2027 season of the Hawaii Youth Symphony's Honolulu Music4Kids ʻUkulele Program held at the Boys & Girls Club of Hawaiʻi Spalding Clubhouse in Honolulu.

Registration Deadline: 5:00 PM Tuesday, September 8, 2026

Please read through the following BEFORE you fill out this form.

This registration form registers your child for the FULL SEASON that starts in September 2026 and runs through early May 2027. 

• Tuition is $35.00. This includes all classes, workshops, and concerts/events. 

• Once the season begins, there will be NO refunds if a student drops out or is expelled from an ensemble due to behavior or attendance issues.

• If a student pulls out of the program BEFORE the orientation on September 10, 2026, parents can receive a refund of the full tuition amount.

Email is our primary means of communication.

• It is VERY important that the PRIMARY email address you give us on this form is vaild and checked frequently. All emails will go to this person.

MANDATORY Parent AND Student ONLINE Orientation - Thursday, September 10, 2026, from 4:30-5:00 PM. At least ONE parent must attend this online orientation with their child.

All students participating in the program must also be a member of the Boys & Girls Club of Hawaiʻi. You can learn how to join by CLICKING HERE or going to/calling the BGCH Spalding Clubhouse and talking with one of the staff members.

Honolulu Music4Kids ʻUkulele Class Schedule

Classese will be on Tuesdays AND Thursdays starting on September 22, 2026.

Students must be in grades 3-12 for the 2026-2027 school year.

Class Times:

4:00-4:45 PM ʻUkulele Class for Students in Grades 3-5

For students in grades 3-5 who are members of the Spalding Boys & Girls Club of Hawai’i and who want to learn the basics of playing the ‘ukulele and reading music. Students typically have no experience or less than a year of experience on the ‘ukulele in this class. However, students can take the class for a couple of years as the teacher does differentiate instruction for students who already have some experience.

5:00-5:45 PM ʻUkulele Class for Students in Grades 6-12

For students in grades 6-12 who are members of the Spalding Boys & Girls Club of Hawai’i who want to learn the ʻukulele OR further their skills on the ‘ukulele. Students generally have at least one or two years of experience or on the ‘ukulele through a school program or private lessons. However, beginner students are welcome to join! The teacher is able to differentiate instruction for students of various ability levels.

For the full schedule for the year, click the graphic below!

All fields with an asterisks * beside it are required.

Please make sure that the student's LEGAL NAME AND BIRTHDATE are entered accurately as this is how your child's name will be listed in all programs and how we check that your child is age eligible for the program.

Instrument Loans

HYS offers instrument loans to students in our programs at NO COST to families. If you do need to borrow an instrument from us, please select "yes" below. You will be prompted to then fill out an instrument contract. Students who need an instrument will be sized for one on the first day of class and be given an instrument to use the following class time.

These forms provide consent for all participants who engage in activities with the Hawaii Youth Symphony (also referred to as "HYS" in these documents), a not-for-profit located in the State of Hawaiʻi.

All of the forms below must be completed BEFORE students can participate in a Hawaii Youth Symphony program. Refunds (partial or whole) will not be issued if a child cannot participate due to these forms not being filled out prior to the start of the 2026-2027 season.

Transportation Consent

Parents/Guardians are solely responsible for taking their children directly to designated Hawaii Youth Symphony programs, as well as picking their children up directly from Hawaii Youth Symphony programs. Hawaii Youth Symphony shall not be responsible for transportation or daycare of children outside of designated program times.

Acceptance of the General Rules, Regulations and Health Procedures - See Appendix A & B Below

APPENDIX A: GENERAL RULES AND REGULATIONS

We expect students of Hawaii Youth Symphony (“HYS”) to behave in a manner that respects the rights of others and brings honor to HYS and dignity to themselves. Because we are guests at every rehearsal, concert, or studio facility, please leave any area in a condition cleaner and more orderly than you found it.

In addition, please adhere to the following rules:

1. Treat all faculty, staff, volunteers, vendors, and school personnel with respect.
2. No drinks (except bottled water) or gum are allowed in any of the rehearsal/concert/filming facilities. Food is only permitted if and when provided by HYS.
3. No usage of tobacco products, or e-cigarettes/vapes, or other intoxicating substances.
4. No gambling or stealing.
5. No bullying, harassment, or hazing.
6. No selling, promotion of, possessing, consuming, or being under the influence of drugs, narcotics, hallucinogens, or alcohol.
7. No socializing with outside guests during rehearsal or performance hours.
8. No texting or messaging, phone or video calls, live streaming, or use of any electronic devices during rehearsals, performances, filming session or recording session.
9. No sharing of food or drink.
10. Students are not permitted to swim, surf, or participate in aquatic activities.

In any case of misconduct, Hawaii Youth Symphony will enforce immediate disciplinary action, which may include expulsion from HYS. The Hawaii Youth Symphony will cooperate fully with law enforcement officials for all transgressions and investigations.

APPENDIX B: HEALTH PROCEDURES

In efforts to curb the spread of illness, HYS requires all students who participate via in-person programs to agree to the following:

1. Stay home when you don’t feel well.
2. Masks are encouraged but optional for all students, faculty, staff, and volunteers.
3. Immediately report illness to HYS via your program's email address. For Honolulu Music4Kids, the email is mitch.honolulu@hiyouthsymphony.org  

Additional or Revised Procedures:

HYS reserves the right to revise its protections, as warranted (such as by new information from the CDC or local/governmental agencies), with/without advance notice.

Notice of Privacy Policy

Hawaii Youth Symphony respects the privacy of all donors, participants, and constituents. In order to better protect your privacy, we provide this notice explaining our online information practices and the way your
information is collected.

Information We Collect and How We Use It
We may collect email and personal information through the use of third-party vendors, such as vendors that utilize and manage student and program management software. We may also collect email and personal information from our donors as part of our donor database This includes identifiable information used to access our website, such as cookies. This also includes information such as, but not limited to, identifiable information such as names, phone numbers, mailing addresses, and email addresses. We protect our personal information database by means of various technical and procedural measures, and we restrict access to information by unauthorized persons. We require that any third-party service providers comply with confidentiality requirements and to not use your personal information for marketing purposes without your consent.

We reserve the right to use personal information to protect the security or integrity of our Website; to protect against a threat to personal safety or destruction of property; to protect against legal liability; or to cooperate with government officials or parties in litigation, or as otherwise required by law. We may also share personal information with our successors and assigns in accordance with law.

COPPA (Children Online Privacy Protection Act)
When it comes to the collection of personal information from children under the age of 13 years old, the Children's Online Privacy Protection Act (COPPA) puts parents in control. The Federal Trade Commission, the United States' consumer protection agency, enforces the COPPA Rule, which details what operators of websites and online services must do to protect children's privacy and safety online.

We do not specifically market to children under the age of 13 years old.

Student enrollment status for minors will be treated as confidential information.

NOTICE OF NON-DISCRIMINATION
Hawaii Youth Symphony’s programs and services reflect the cultural diversity of our community. We do not discriminate on the basis of race, color, national origin, gender and gender identity, sexual orientation, religion, physical or mental ability, and marital or familial status.

In consideration for becoming involved in Hawaii Youth Symphony’s programs and the related activities (collectively, “activities”) conducted by and at Hawaii Youth Symphony, {nameOf113}, hereby agrees as follows:

ASSUMPTION OF RISK: I agree that my child/ward is voluntarily participating in the activities offered by Hawaii Youth Symphony including, but not limited to, the use of the equipment, facilities, and the premises. I am assuming on behalf of my child/ward, all risk of personal injury, bodily harm, disease, dismemberment, death, or disability to my child/ward that may result from participation, or any damage, loss or theft of any personal property which my child/ward may incur. I understand that Hawaii Youth Symphony provides private and group music lessons and performances, and may be driving my child/ward around in the community and taking them to and from places including, but not limited to, rehearsals, concerts, housing, and recreational facilities.

RELEASE OF LIABILITY: I understand that my child/ward will be engaging in group activities, and individual lessons in the community and at facilities and premises provided by Hawaii Youth Symphony. I agree on behalf of myself and my child/ward and our personal representative, successors, heirs, and assigns to hold Hawaii Youth Symphony, and its affiliates, instructors, officers, directors, agents, employees, licensors, designers, and advisors, as well as the property owner and tenants of the property and the owners, manufacturers and installers of the equipment comprising the Hawaii Youth Symphony facility/vehicles (collectively, the “Releasees”) harmless from any and all claims or causes of action arising out of my child’s/ward’s participation in Hawaii Youth Symphony programs.

I expressly release and forever discharge Releasees from any and all liability, claims, demands or causes of action whatsoever arising out of any damage, loss, personal injury, disease, death to my child/ward, or damage to instruments or equipment, while participating in any of the activities offered by Hawaii Youth Symphony. This includes, without limitation, the transportation, receiving of instruction, and any other possible activities that may be involved in Hawaii Youth Symphony’s programs. This release is valid and effective whether the damage, loss, or death is a result of any act or omission on the part of any Releasees or from any other cause. This Waiver and Release of Liability includes, without limitation, injuries, or accidents, which may occur as a result of the: (a) use or misuse of the facility in any way by anyone, (b) use of any equipment that malfunctions or breaks, (c) improper maintenance of the facility, grounds, or any equipment, (d) instruction or supervision (e) slipping, tripping and/or falling while in the facility or on the surrounding premises (f) transportation of your child/ward by Hawaii Youth Symphony staff or volunteers. This Release of Liability also expressly includes a release for any and all claims arising out of
or under applicable Hawaii laws.

I understand that I am voluntarily giving up my and my child’s/ward’s right to bring a lawsuit or claim against the above-mentioned Releasees.

I give HYS permission to make, adapt, publish, distribute, publicly perform, transmit, display and/or otherwise use audio and video recordings and photographic images of my child for archival, fundraising and publicity purposes, in all media now known or hereafter invented, worldwide, royalty-free, and in all fields of use. I hereby release HYS and its audio and video recorders and photographers from any and all liability for use of my child's publicity rights, including my child's name, voice or likeness, whether alone or in composite form. I understand that the audio and video recorders, photographers and HYS can use any artistic procedure for composition needed to produce a product, publication or display, for promotional (including fundraising) reasons.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF ALL LIABILITY AND A WAIVER OF ANY RIGHT THAT I MAY HAVE ON BEHALF OF MYSELF AND/OR MY CHILD/WARD TO BRING A LEGAL ACTION OR ASSERT A CLAIM FOR INJURY OR LOSS OF ANY KIND AGAINST HAWAII YOUTH SYMPHONY, SHOULD ANY CLAIM BE MADE, I UNDERSTAND AND AGREE THAT I WILL BE RESPONSIBLE FOR ALL ATTORNEY’S FEES AND DEFENSE COSTS INCURRED BY HAWAII YOUTH SYMPHONY, IN CONNECTION WITH OR IN THE DEFENSE OF THAT CLAIM.

This Release and Waiver will be in effect from the date signed. I have read the above, considered its effects, understand its content and agree, on behalf of myself and my child/ward, to the terms as stated above. This agreement specifically contains an indemnity agreement whereby I agree to reimburse the Releasees against any damages (including attorney’s fees and costs) incurred as a result of any lawsuit, claim, or action brought by myself, my child/ward, or any other party, related in any way to my child’s/ward’s involvement with Hawaii Youth Symphony.

If you choose NOT to give us the medical information below, HYS staff and emergency personnel may not be able to adequately help your child in the case of an emergency. HYS will not be liable for information that is not provided on this form.

Medical Consent

I hereby give my consent to any emergency facility and/or physician to administer any treatment that such facility or physician may deem necessary or appropriate to my child. In the event of an emergency during which I cannot be reached, I give consent to transport by ambulance if the situation warrants it.

I understand that I will be responsible for all expenses associated with above medical treatment. I will defend, indemnify and hold Hawaii Youth Symphony and its officers, directors, agents, volunteers and attorneys harmless from and against any damages, liabilities, claims, costs or expenses arising from any such medical treatment.

IT IS THE PARENT/GUARDIAN'S RESPONSIBILITY

TO NOTIFY THE HAWAII YOUTH SYMPHONY

OF ANY CHANGES IN THE ABOVE INFORMATION.

PLEASE EMAIL CHANGES TO ADMIN@HIYOUTHSYMPHONY.ORG

The Hawaii Youth Symphony’s Student Handbook is attached to this document. By signing below, I am indicating that I have read every page in this document, fully understand the contents and implications, and have reviewed their contents and implications with my child.

BEFORE YOU CLICK SUBMIT BELOW, please check the following:

• Double check your form to ensure all the information is correct

After you submit this form, a confirmation email will be sent to the PRIMARY Contact's email: {primaryParentguardians9}

It is usually delivered within a few minutes of submission, but sometimes can take a couple hours. If you don't receive a confirmation email by the next day:

• Check your junk/spam folder. The email will be coming from admin@hiyouthsymphony.org or JotForm.
• Call the HYS office at (808) 941-9706. The office is usually open from 9:00 am - 4:00 pm, Monday through Friday.