LAUNCH sail

Registration

1 2 3

How Many Children Are You Registering?

Child 1

Child's Information

First Name *

Last Name *

Gender *

Date of Birth *

Month

Day

Year

Age *

Current Grade Level *

School / District *

Classes & Payment

Please select the number of classes you'd like to register your child(ren) for.
Please be sure to enter all information.
Once you hit submit, you will be directed to LAUNCH's PayPal where you MUST pay 50% of total classes registered to secure your child(ren)'s registration.

If your child is taking 3 or 4 classes, please indicate preference

Payment (50% of total classes selected due when registering) *

Child 2

Child's Information

First Name *

Last Name *

Gender *

Date of Birth *

Month

Day

Year

Age *

Current Grade Level *

School / District *

Classes & Payment

If your child is taking 3 or 4 classes, please indicate preference

Payment *

Child 3

Child's Information

First Name *

Last Name *

Gender *

Date of Birth *

Month

Day

Year

Age *

Current Grade Level *

School / District *

Classes & Payment

If your child is taking 3 or 4 classes, please indicate preference

Payment *

Child 4

Child's Information

First Name *

Last Name *

Gender *

Date of Birth *

Month

Day

Year

Age *

Current Grade Level *

School / District *

Classes & Payment

If your child is taking 3 or 4 classes, please indicate preference

Payment *

Address

Street Address *

Address Line 2

City *

State *

Zip *

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Nettleton Commons
313 East Willow Street
Suite 204
Syracuse, NY 13203
fax: 315-431-0606
info@launchcny.org

315-432-0665

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Registration

Child's Information

Classes & Payment

Child's Information

Classes & Payment

Child's Information

Classes & Payment

Child's Information

Classes & Payment

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315-432-0665