Student Registration for STEM-UP Club
Welcome to our Registration page and thank you for your interest. Please complete the form below and tell us about your student's interests. Your information is confidential and used to help us create a positive and supportive environment for your student(s). Thank you!
Email address *
Your Student's First Name *
Your Student's Last Name *
Parent's Phone Number *
Parent's Full Name *
Parent's Email *
Founded in 2012, the REACH Foundation provides resources for enrichment programs in Academics, Arts & Athletics. Thank you for your support! 
Your Student's School Name *
We believe every child has a unique gift to offer the world!
Your Student's Grade Level *
What programs are your student(s) interested in? *
Captionless Image
Please tell us about your student
What are your student's personal interests, strengths, or hobbies?
What is your student's favorite subject at school?
What information should we be aware of to better support your student's learning needs?
If you have any suggestions, recommendations, or information to help us curate fun and engaging programs for your student, please share.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of R.E.A.C.H. Foundation.