Launch Seminar Registration | Sauganash Study Center

Personal Information

Name*

First Last

Father's Name*

Mother's Name*

Address*

Street Address City State ZIP Code

Home Phone Number*

Father's Cell Phone Number

Mother's Cell Phone Number

Student's Cell Phone Number

Student Email Address*

Parent Email Address*

Date of Birth*

MM

DD

YYYY

Education

School*

Year of High School Graduation*

GPA from Last Year*

Other Information

Have you attended activities at Sauganash before?*

Yes
No

Would you like to share your contact info with other parents in order to coordinate transportation?*

Yes
No

For all those who mark 'yes' above, we will help you coordinate travel plans to The Launch with other students in your area by sharing your contact info with each other (name, city, home phone number). You can then contact directly those in your area about the possibility of carpools or riding the train together. We will send you this contact information as the first session approaches.

Electronic Signature for Photo Release*

I hereby authorize and consent to the use and reproduction by The Launch staff or an authorized agent or assignee of any and all photographs taken of my son for the purpose of promoting The Launch, without any compensation to me. All film, together with any prints, shall constitute property of The Launch, solely and completely.

Reference*

Who recommended this program to you?

Comments

The Launch Seminar Registration

Personal Information

Education

Other Information