LAUNCH Registration Form
LAUNCH: Learning And Understanding the Necessities of College and High School.
A week-long freshmen transitional summer program will be held July 17-21 from 9:00-12:00 at Fox Chapel Area High School. No Registration or Transportation Costs. Students who attend all 5 days will receive a free Class of 2021 t-shirt.
Email address *
Student's name
Your answer
Student's email address (if applicable)
Your answer
Student t-shirt size (Shirts are unisex adult sizes)
Guardian's name
Your answer
Guardian's phone number (daytime)
Your answer
Transportation needed
If transportation is needed, at what address will the student need picked up and dropped off at? (Street, City, Zip)
Your answer
What school did student attend in 8th grade?
Your answer
Emergency contact name & phone number (during LAUNCH week 7/17-21, 9-12:00)
Your answer
Please list any medical and/or special needs
Your answer
Student participant photo/media release
Throughout the duration of the LAUNCH summer transition program, students may be recorded, interviewed and/or photographed by representative newspapers, television and radio stations, as well as district communications office personnel or their designees. All of these media possibilities may be publicly displayed. Along with students and their work may be photographed and appear in media publications and/or electronically displayed on Web sites and throughout various broadcasts. Please complete and submit this form along with the registration form to ensure your full participation in the LAUNCH summer transition program.

I hereby grant FCAHS LAUNCH program permission to display and share electronically via the Internet and/or in other displays and/or in the news media, photographs and/or video of me taken in conjunction with my participation in all activities/events associated with the FCAHS LAUNCH summer transitional program.

By marking YES, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby.
For more information please call or email
Daniel_Lentz@fcasd.edu or 412-967-2430
Registration deadline: June 14, 2017
Registrations will not be accepted after June 14th due to transportation scheduling, t-shirt printing, and staffing.
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