Middle School Visit Request Form

Student's Full Name *

First

Middle

Last

Student's Date of Birth *

Student's Gender *

Preferred pronouns (optional)

Does your student prefer to be called by a name/nickname other than first name?

Your answer

Select a Date - 8:20am to 3:30pm *

Please sign in at Underhill, our main office.
Arrival time is 8:20am. Pickup time is 3:30pm.

Student's Current School *

Student's Current Grade *

Student's Interests

Please list some of your child's academic interests, extracurricular activities, and/or hobbies. This will help us pair your child with one of our student ambassadors.

Parent Name *

First

Middle

Last

Parent Phone Number(s) *

Please list all the phone numbers you can be reached at during the day that your child is shadowing at our school.

Parent Email Address *

Email

Confirm Email

Please list the email address that you would like us to use to contact you.

Emergency Contact Person *

First

Last

Please list the name of someone we can contact in the case of an emergency if we are unable to reach you.

Emergency Contact Phone Number *

Allergy Information

Please list any allergies your child has that we need to know about.

Health/Medication Information

Please list any health information we need to be aware of, or if there are any medications your child needs to take while on our campus.

Welcome Home

Meet Our Faculty

Admissions Deadlines

Aftercare and After School Enrichment Programs

The Quest of a Lifetime!

Make a difference!

First Day of School: August 21