REACH Registration Form 2021-2022
START DATE: September 13th 2021
DAYS & TIME: Monday - Friday for 3 hours after school.  (Everyday that there's a full day of school)

REACH is an afterschool program for students in 6th, 7th, & 8th grade at the PMS.  Space is limited, so if your child is accepted, attendance on a regular basis is mandatory.  Once the program fills up, your Child's registration form will be on the REACH waiting list.
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Student Name *
Address *
Grade (as of 2021-2022 school year) *
Is your child new to the Phillipsburg School district this year? *
What is the primary language that is spoken at home? *
Parent or Guardian *
Home Phone
Cell Phone
Work Phone
Emergency Contact #1   (Name & Phone Number) *
Emergency Contact #2    (Name & Phone Number)           *
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