*
Required
Child's Name
What grade are you applying for?
6th Grade
7th Grade
8th Grade
What grade is your child in currently?
Student Gender
Student Date of Birth
(mm/dd/yyyy)
What school does your child go to?
What is your name?
What is your relationship to the student?
What is your phone number?
What is your email?
If your child has a sibling who attended Launch, please write their name and birthdate here
What is your home address?
How did you find out about Launch?
Please send a confirmation email to the address below: