REACH Renewal Application
School Year 2018-2019
Email address *
Important Information
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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 www.onrealm.org/reach or the Realm Connect App before you continue with the application and make sure all information is current for all family members.
Required
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 (www.reachofflorence.org/#Documents).
Required
Opportunities of Service Choices *
Please list 1 preferred choice and 1 alternate choice. Refer to the Opportunities of Service document on the REACH website (www.reachofflorence.org/#Documents).
Your answer
A copy of your responses will be emailed to the address you provided.
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