REACH Membership Application  

(Research, Education, Accommodations, Community Integration, Health) 

 

Gene Cook Supports, LLC. offers REACH memberships to allow access to our activities and events.  The REACH program is designed with activities and community integration in mind, specializing in supporting individuals with Special Needs.   

All memberships require a $50.00 monthly membership fee, which will be automatically applied using the payment method information provided by the applicant.  All members will be issued a membership card that must be presented during all activities and events.  Members must also pre-register for the activities and events they wish to attend in advance by contacting: 

Erin Centofanto – (724) 757-5642 

Erin@genecooksupports.org 

 

Please complete the information below and submit your application to begin your membership. After submission you’ll be redirected to our PayPal payment portal. For quick and easy payment without the need to log in, please click on “Pay with Debit or Credit Card”