REACH Renewal Application
School Year 2018-2019
Email address *
Important Information
Please complete this form in Chrome, Firefox, or Safari. Internet Explorer is not compatible with this Google Form.
First Name *
Your answer
Last Name *
Your answer
Family & Personal Information
Has your address or any personal information changed since last year? *
If you answer yes, please log into or the Realm Connect App before you continue with the application and make sure all information is current for all family members.
New Family Members
Enter the name, date of birth and grade (if applicable) for any new family members added since the prior school year.
Your answer
Method of Payment
Your registration fee provides membership in REACH for the entire school year. An email with payment instructions will be emailed to you following registration.
Registration Fees (Non-refundable) *
*An additional late fee of $10 will be included after August 1st
Final Confirmation and Registration Details
Name of Legal Covering Agency and Membership ID *
The school, school district, or accountability association that you report to and your associated Membership ID, if applicable.
Your answer
Agreements *
These are required in order to participate in REACH. These are published on the REACH website (
Opportunities of Service Choices *
Please list 1 preferred choice and 1 alternate choice. Refer to the Opportunities of Service document on the REACH website (
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms