West Central - Job Shadow Registration (Fall 2020)
Please complete the following information so that we can coordinate your appointment.

 In addition, parent-permission must be turned in to Mrs. Renner  before job shadows can be scheduled.  Thank you.
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Last Name: *
First Name *
Email Address.  We may contact you about possible job shadowing dates/times as we are finalizing your appointment.  Please list an email address, as well as any other suggested ways of contacting you to organize your appointment. *
Cell Phone *
May we send text messages to this number?
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In the event of an emergency during your job shadow, who should we contact for you?  Please list name/phone number: *
Age & Birthday (Month & Year) Ex:  Age 15, born March 2004.  Why?  Some of our business partners require this.  For example, you must be 16 before you can shadow in some careers due to safety laws. *
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