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`ACTIVITIES J <br />CLUB: <br />HAWAI'I POLICE DEPARTMENT <br />349 KAPI'OLANI STREET <br />HILO, HAWAII 96720 <br />HI -PAL TEAM Fl IGIRII ITY PO.gTFR <br />EAST HAWAI' I <br />PHONE <br />FAX <br />(808)961-2220 <br />808 961 -2209 <br />WEST HAWAII <br />808 326 -4646 EX 258 <br />808 327 -3653 <br />PARTICIPANT I BIRTHDATE I UNIFORM # I W I BC T -SHIRT SIZE <br />I CERTIFY THAT THE DATES OF BIRTH OF THE PARTICIPANTS LISTED ABOVE ARE CORRECT AND HAVE BEEN <br />SUBSTANTIATED BY BIRTH CERTIFICATES EXAMINED BY ME. THAT THE ADDRESSES OF EACH PARTICIPANT IS <br />CORRECT AND EACH PARTICIPANT LIVES WITHIN THE BOUNDARIES. <br />SIGNATURE AUTHORIZED CLUB OFFICIAL DATE TIME PHONE NO. <br />SIGNATURE HI -PAL DIRECTOR <br />HPD /HIPAL -009 REV 3 -11 -09 RETENTION <br />