S.T.A.R. Power Request Form
S.T.A.R. Power Request Form
School/Group Name:
School District:
City, State, Zip:
Contact Person:
Number of students:
Program Selection*:
Select areas of interest
(choose all that apply)

*The Kohl’s and Children’s Mercy S.T.A.R. Power Program consists of three key areas: Healthy Eating,  Relaxation, and Self-Esteem. Program content is presented in three interactive sessions throughout the school year. These topics are explored through classroom presentations, group discussion, expressive activities and hands on FUN!

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