Name *

First Name

Last Name

Phone

(###)

###

####

Is your group/organization a part of the HPBC (Hawaii Pacific Baptist Convention)? *

Yes

No

Facilities inquiring about *

Bunkhouses (Barker, K-Cottages, Peterson)

Private Rooms (Hikina and Plantation Hale 2nd floor rooms)

Indoor meeting spaces (Plantation Hale 1st and 3rd floor, Komohana)

Grounds

Tent

Entire Facility

Kitchens (Plantation Hale, Komohana)

Miscellaneous Rental Needs *

Campfire (Ends by 10pm)

Audio / Visual Equipment

Outdoor water /electrical

Early/ Late check out

Tables and folding chairs (for tent area only)

Peterson Kitchen

N/A

Food Service Acknowledgment *

FOOD SERVICES: During the 2025 season we will not be having food services. Each group is required to cater or provide their own food for their stay. The kitchen in the Plantation Hale will be available for an additional fee which includes ice machine, cookware/utensils, storing, warming, and serving meals (all meals must be fully cooked previously due to licensing and permitting regulations). If renting Komohana or Peterson, groups are able to cook in them. There will be some cooking tools and cookware in those kitchens. If renting the entire facility, the Plantation Hale and Komohana kitchen fee is included. *Peterson kitchen is available to use at an additional cost*

I understand

Release Forms *

I understand that all attendees will need to sign and fill out Pu'u Kahea Conference Center Release Form BEFORE your stay. Release form link will be sent after signing the Rental Agreement.

I Understand

Youth Events *

I understand that if having a youth event/camp at PKCC all attendees 18 years and older will need to have a BACKGROUND CHECK and SEXUAL ABUSE TRAINING.

I understand

N/A

I understand that stays/events are not confirmed until rental agreements are signed and a deposit is made. *

I understand

I understand that checks are the only form of payment that PKCC accepts at this time. *

I understand