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NVLA P.O.W.E.R. Student Registration
Please fill out a separate registration form for each child enrolling in the P.O.W.E.R. program.
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* Indicates required question
Child's First Name
*
Child 1
Your answer
Child's Middle Name
Child 1
Your answer
Child's Last Name
*
Child 1
Your answer
Child's Birthday
*
Child 1
MM
/
DD
/
YYYY
Child's Age
*
Child 1
Your answer
Child's Address (Street, City & Zip)
*
Child 1
Your answer
Grade (2021-2022 School Year)
*
Child 1
Choose
1st
2nd
3rd
4th
5th
6th
7th
8th
Teacher (If Unknown, type "NA")
Child 1
Your answer
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