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English N Pua Ha`aheo o Manokalanip (The proud children of Manokalanip) Name: Address School My name for the new

Pup: Birth Date

Explanation of Name:

Applicant signature Parent or Guardian name: Parent or Guardian Signature: (You may include an attached drawing or illustration on the back if you desire.)

lelo Hawai i N Pua Ha`aheo o Manokalanip (The proud children of Manokalanip) Kou Inoa Kou Wahi Noho Kou Kula Kou inoa no ka sila pepe: Kou L Hnau

E wehewehe I ke kaona o kia inoa :

Applicant signature Parent or Guardian name: Parent or Guardian Signature: (You may include an attached drawing or illustration on the back if you desire.)

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