REBIRTH EFFECT, Inc. 501(c)(3)
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REGISTRATION/APPLY

You can now register & apply for the REBIRTH EMPOWERMENT ACADEMY "FLAGSHIP" beginning March 2, 2026!!BOTH THE STUDENT LEADER (PARTICIPANT) AND THE PARENT/GUARDIAN/CARE PROVIDER MUST SUBMIT REGISTRATION FORMS. BOTH FORMS WILL SUBMIT TO OUR REGISTRATION DATABASE. We will contact you and begin the intake process. You can also begin the application process by accessing the links below. If you have any questions, please email info@rebirthempowermentacademy.com or call 253-380-4440.
REGISTRATION FORMS
STUDENT LEADER/Participant Registration FORM
PARENT/GUARDIAN Registration FORM
STUDENT/PARENT CARE PROVIDER ONLINE APPLICATION FORMS
Application
Student Leader Perception & Vision Form
Parent/Youth Perception & Vision Form
Family Incentives/Support Analysis Form
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Contacts
253-380-4440
info@rebirthempowermentacademy.com
Correspondence Address
1211 123rd Street CT E Tacoma, WA 98445
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