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Hui Hawai`i O Tenesi Hawaiian Civic Club (HCC) Membership Application and Renewal Form
Name: _______________________________________ Spouse: _______________________ Hawaiian Ancestry Ae____ A'ole____ Hawaiian Ancestry Ae____ A'ole____ Hawai'i Born Yes___ No _____ Hawai'i Born Yes___ No _____ Birthday ______________ Birthday____________ Address:__________________________________________________________________ City State Zip Code _________________________________________________________ Phone: _____________________________ ______________________ _______________ Home/Residence Work/Business E-mail:_________________________ Please list household members (children under 18) Age Sex Birthday 1.__________________________________ ___ ___ ______________ 2.__________________________________ ___ ___ ______________ 3.__________________________________ ___ ___ ______________ 4.__________________________________ ___ ___ ______________ PLEASE CIRCLE THE COMMITTEE(S), WORKSHOP(S), PROGRAM(S) YOU ARE INTERESTED IN: Committees Workshops Performance Workshops
Budget & Finance Boutiques: Arts & Crafts A Cappella Choral Group Health Education Kamali’i/Opio (teens) Music Group Ways & Means Na Keiki (children) Hula-Dance Group Na Mea Hawai’i `Olelo (language) Membership Family Programs (`Ohana) Charitable & Welfare Scholarship/ Grant Writing Constitution & Bylaws Food/Catering Programs Na Kupuna (Sr. Prgms.)
Date Submitted: _______________________________ Sponsored by: __________________________ Sponsor Signature_______________________ For more information please email us at [email protected] DUES: New: _________ Renewal: ____________ Single Membership, 18 years and older $20.00 ______ Ohana /Family Membership: $35.00 _______ Please complete your application and send with check payable to: HHOTHCC – MEMBERSHIP Hui Hawai`i O Tenesi HCC P.O. Box 2216 Clarksville, TN. 37042-4945
Mahalo Nui Loa
NOTE: This information is collected for HHOTHCC use ONLY. This information is distributed to other HCC members and HCC clubs as part of our membership roster. Please INITIAL your choice for release of information and sign the application below. All information contained on this form may be released as part of the membership roster.__________ ONLY names (no other information) may be placed on the roster._________ _________________________________________ _____________________________ SIGNATURE DATE
Association of Hawaiian Civic Clubs 53rd Annual Convention
October 14 - 21, 2012 JW Marriott
1300 Pennsylvania Avenue NW Washington D.C. 20004
"Ku Kakou I Ke Pono Ku A Puni Ke Ao Malamalama" Let us all, Stand for Justice, Stand across this brilliant world
Room Rate: $259.00 single-quad occupancy plus 14.50% tax per night
Hotel reservations can be made by calling 703-920-3230 or 1-800-228-9290
All reservations must be accompanied by a one (1) night deposit guaranteed with a
major credit card
There is no hotel shuttle but only a 10-15 minute taxi ride from Ronald Reagan National Airport (DCA)
Watch www.aohcc.org for more agenda information as well as pre/post tours
Please contact Scott Gehring, [email protected], for additional information
Hui Hawai`i O Tenesi Hawaiian Civic Club
Officers: Pelekikena – Marlene Livesay email – [email protected] Hope Pelekikena Mua – Wally Kaaihueemail – [email protected] Hope Pelekikena Elua- George Beppu Email- [email protected] Kakau `Olelo Ho`opa`a – Jo Huber email – [email protected] Pu`uku – Bruce Livesay email – [email protected] Board of Directors: Denny Colbert Scott Gehring Lori Colley
Mainland Council Representatives: Scott Gehring Denny Colbert Marlene Livesay
Address: P.O. Box 2216 Clarksville, TN 37042 Website: www.huihawaiiotn.com Year Chartered: 2008 Club Motto: I Mau Ho`omau Ka `Uhane Aloha A Kanaka Na `Ike A Me Na Hana To perpetuate the aloha spirit and the Hawaiian culture Club Flower: Hibiscus Club Colors: Brown and Orange Club Song: He Hawaii Au
