Project Launch 2018 - Application -

Your Name: _________________________________________________ School You Attend: ___________________________________________ Your Birthdate: ______________________________________________ Your Phone: _________________________________________________ Your email: __________________________________________________ Parents/Guardian Name: ______________________________________ Parents/Guardian Phone:_______________________________________ Briefly describe 3 accomplishments you hope to achieve at the completion of Project Launch 2018. 1)_______________________________________________________________________________ ________________________________________________________________________________ 2)_______________________________________________________________________________ _________________________________________________________________________________ 3)_______________________________________________________________________________ ________________________________________________________________________________ Your Signature _________________________________

The Launch Pad Teen Center, by teens for teens!

Today’s Date: _________________

(928) 632-2996) or contact Instructor at (480) 235-8049

Project Launch 2018 - Application.pdf

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