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Kid Power Registration
After you click submit, you will see your completed Kid Power contract.
Please print the page, read it, sign it, and bring it with you to training.
Thank you.
First Name*
Required
Last Name*
Required
Address*
Required
City*
Required
State*
Required
Zip Code*
Required
Please provide at least two phone numbers
(in case of an emergency or if we need to reach you).
Indicate whose phone after the number.
Examples: (my cell), (mom's cell), (home phone), (grandparents)
Phone number 1
Phone number 2
Phone number 3
Grade* (in Fall 2016)
6th
7th
8th
9th
Required
School* (in Fall 2016)
Required
Have you been a Kid Power volunteer before?*
Yes
No
Required
What years?
* required