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PPH: Registration FormPPH offers two separate sessions each year. Write check and mail to: Parent's Name:_______________________________________________________ Parent's Address:____________________________________________________ _____________________________________________________________________ Home Phone Number:___________________________________________________ Who will be bringing the child(ren) to Preschool Power Hour? _____________________________________________________________________ Address and telephone if different than parents:______________________ _____________________________________________________________________ Names and ages of all children 0-4 yrs who will be attending PPH Name:_____________________________ Name:_____________________________ Name:_____________________________ Name:_____________________________ Name:_____________________________ Name:_____________________________ Cost is $20.00 per child per session (18 mos. - 4 yrs. only). Infant ____ number of children x $20 = $________ How did you hear about our program? Newspaper_____ Friend_____ Brochure_____ Other (specify)_____________
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| PPH Home | Bible Time | Music Time | Gym Time | Art Time | Power for Parenting | Teachers | Schedule | History | Registration |
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