Shadow Day Request

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Shadow Day Request

Email *

Student's First Name *

Student's Last Name *

Student's Gender *

Female

Male

Parent's First Name *

Parent's Last Name *

Date of Visit *

YYYY

Current Grade *

7th

8th

Student's Current Grade School *

Parent/Guardian Permission *

By Clicking on the box to the left, as the parent or legal guardian, I give permission to the student listed above to spend the day at Marian Catholic High School and give permission for the school to use my child's image for marketing purposes in Marian Catholic publications

Required

Parent/Guardian Email *

Emergency Contact Person *

Emergency Phone Number *

Home Street Address *

City *

State *

ZIP Code *

Phone Number *

In which sports or activities is the student interested? *

If you wish to shadow a specific Marian Catholic student, please list the student's name.

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