Reach Academy DISCOVERY 2026
APPLICATION

We welcome your application to Reach Academy for Young Men's Discovery Program!

Summer 2026 Dates:  June 22 - July 3

Courses will be finalized on February 1, 2026.

Sign in to Google to save your progress. Learn more
Applicant's Full Name (First and Last) *
Applicant's Preferred Nickname *
Applicant's Preferred Email (if he has one) *
Applicant's Mailing Address *
 Applicant's School in Fall 2026 *
Applicant's Age in June, 2026 *
Required
Applicant's Date and Year of Birth *
Parent/Guardian #1 Name *
Parent/Guardian #1 Email *
Parent/Guardian #1 Primary Phone *
Parent/Guardian #1 Mailing Address *
Parent/Guardian #2 Name *
Parent/Guardian #2 Email *
Parent/Guardian #2 Primary Phone *
Parent/Guardian #2 Mailing Address *
FOR THE PARENT/GUARDIAN:  Please select one teacher from this current academic year who will agree to complete our Reach Academy for Young Men Discovery recommendation form.

What is the full name and title of your chosen recommender?
 *
FOR THE PARENT/GUARDIAN:  What is the preferred email address of your chosen recommender? *
We provide lunch for all at Reach Academy.  Please list the applicant's Allergies and Dietary Restrictions: *
We offer 2 buses:
1.  LAX - Palms - Westwood (405)
2.  DTLA - Tujunga - Sepulveda (101)

Will you take advantage of the bus option?
 *
Reach Academy Discovery is a 2-week program and the cost is $2500.  Will you require financial assistance? *
Are there any boys you think would be interested in receiving an application from Reach Academy?  

If so, please provide name and contact email here.
T-shirt size (child size) *
Thank You!  We can't wait for Summer, 2026!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms