Preschool Power Hour Sign Up

The Preschool Power Hour fee is $15.00 per family per semester payable on the first day. This fee covers advertising, supplies, and gifts for the children attending.
Parent's Name:*
Parent's Address*
City, State, ZIP
Parent's Home Phone:*
Email address:
Who will be bringing child to Power Hour?
Address and telephone (if different than parents):
Name(s) and age(s) of child(ren):*
Any allergies that you know of?
How did you hear about Power Hour?
Are you a member of St. John's?
 Yes
 No
If you are not a member at St. John's, please share your home church with us.
Check here if you would like information about the St. John's 3 & 4 year old preschool program.


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St. John's Lutheran Church

198 Westridge Avenue
Burlington, Wisconsin  53105
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Phone: (262) 763-8229
office@stjohnsburlington.org

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