Refer A Child

We take pride in having the privilege of helping our own Big Island children.  If you have a child who meets our criteria, please fill out the form below. 

If you would like to invite someone to fill out this form for their child, please provide them with a link to:

To Apply: Please simply fill out the form below.

If you would prefer to download and print this application, you may click on the images below.

Application Form