Student Interest Form for The REACH Project
Dear Parents,

Please fill out the information below to sign up for our online Spring STEM program! This program is mainly for students who:

- Are in 6th-8th grade (younger students considered on a case by case basis)
- Can attend ALL sessions. If there is a specific date you cannot attend, let us know in this form.
- No previous experience in STEM is necessary!

Program Duration:
Saturdays and Sundays from May 15th - June 6th

Time: 1-2:30 pm

Please fill this form out by May 10th, and we will reach out with additional information.

Email with any questions!
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Student's Full Name *
Student's Email
Student's School *
Student's Grade Level *
Full Name of Parent/Guardian 1 *
Parent/Guardian's Email *
What is your address (in case we send materials)? *
Parent/Guardian 1's Phone Number *
Emergency Contact and Phone Number *
How did you find out about us? *
How accessible is technology in your household? *
Not accessible
Very accessible
If you have any known conflicts with the following dates, let us know: May 15-16, 22-23, 29-30. June 5-6, 12-13.
Is there any additional information you would like REACH to know about your child?
Do you have any questions/concerns/clarifications?
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