REACH Application
School Year 2018-2019
Email address *
Important Information
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First Name *
Your answer
Last Name *
Your answer
Phone Number *
Preferred contact number (please specify if this is the home number, Mom's cell, or Dad's cell)
Your answer
Alternate Phone Number *
Please add any other phone numbers (ex. Dad's cell, Mom's cell) not already used in the previous question.
Your answer
Street Name *
Address
Your answer
City *
Address
Your answer
State *
Address
Your answer
Zip Code *
Address
Your answer
Family and Personal Information
Children *
Please list the following information about your child(ren): Full name, Sex, Grade for 2018-2019 School Year, Date of Birth.
Your answer
Your Relationship with Christ *
Tell us how and when you came to know Christ as your personal Savior and how you are growing in your relationship with Him currently.
Your answer
Church *
Tell us what church you are currently active in.
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 and Membership ID *
The school, school district, or accountability association that you report to and your associated Membership ID, if applicable.
Your answer
Curriculum *
Tell us what curriculum you are using in your homeschool.
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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