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Shadow Visit Registration

Please complete the form below. Required fields marked with an asterisk *

Student's Contact Information

First Name*

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Last Name*

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Address

Street Address*

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City*

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Zip/Postal*

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Current Grade *

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Current School *

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What are some of the shadow's interests?

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Parent's Name *

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Parent's Phone Number *

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Parent's Email *

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Does your son know who they would like to shadow? If so, please list their name below. *

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Shadow Days for the 2023-2024 school year:

October: 2, 5, 10, 12, 16, 17, 19, 23, 24, 31

November: 2, 6, 7, 8, 9, 13, 14, 16, 20, 21, 27, 28, 29, 30

December: 4, 5, 6, 7

January: 8, 9, 10, 11, 29, 30, 31

February: 1, 5, 6, 7, 8, 12, 13, 26, 27, 28, 29

Choose one date for your Shadow visit!*

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