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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We were therefore buried with him through baptism into death in order that, just as Christ was raised...we too may live a new life. ~ Romans 6:4