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Child's Name

What grade are you applying for?

6th Grade7th Grade8th 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: