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REACH Program Student Registration

Parent 1 Information

Please fill out the form to enroll your child. If you have more than one child to enroll, fill out a new form for each child.
Por favor llene el formulario para inscribir a su hijo(a) en el programa REACH de ayuda con LECTURA.
 
1. Parent 1 name(s)
Nombre de la madre o padre de familia *This question is required.
3. Legal Guardian?


¿ Es el guardián legal?  *This question is required.
This question requires a valid number format.
This question requires a valid email address.
This question requires a valid number format.
10. Please select the day you prefer
Favor seleccione el día que prefiere: *This question is required.