REACH Registration Form 2020-2021
The Virtual REACH Enrichment Program will provide students with a mix of homework & tutoring, as well as a variety of virtual recreational and enrichment activities.
Student Name *
Address *
Grade (as of 2020-2021 school year) *
Is your child new to the Phillipsburg School district this year? *
Parent or Guardian *
Home Phone
Cell Phone
Work Phone
Emergency Contact #1 (if different then above)
Emergency Contact #2 (if different then above)
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