2018-2019 Power Hour Kidz (PHK)
Child #1 Name:
Age:
Current Preschool/Grade Level:
Child #2 Name:
Age:
Current Preschool/Grade Level:
Child #3 Name:
Age:
Current Preschool/Grade Level:
Child #4 Name:
Age:
Current Preschool/Grade Level:
Parent/Guardian Name:
Street Address:
City, State, Zip Code:
Phone Number:
Email Address:
Any special items we should be aware of:


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"You are looking for Jesus of Nazareth, who was crucified. He has risen! He is not here. See the place where they laid him." ~ Mark 16:6