Shadow Day Request Form Please fill out the following information in order to schedule a shadow day for your child.Please enable JavaScript in your browser to complete this form.Student's Full Name *FirstMiddleLastStudent's Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student's Gender *Preferred pronouns (optional)Does your student prefer to be called by a name/nickname other than first name?Your answerSelect a Shadow Date - 8:20am to 3:30pm *Tuesday, Jan 9Wednesday, Jan 10Thursday, Jan 11Tuesday, Jan 16Wednesday, Jan 17Thursday, Jan 18Tuesday, Jan 23Wednesday, Jan 24Thursday, Jan 25Tuesday, Jan 30Wednesday, Jan 31Tuesday, Feb 6Wednesday, Feb 7Thursday, Feb 8Tuesday, Feb 13Wednesday, Feb 15Thursday, Feb 15Please 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 *6th Grade7th Grade8th GradeStudent's InterestsPlease 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 *FirstMiddleLastParent 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 *EmailConfirm EmailPlease list the email address that you would like us to use to contact you.Emergency Contact Person *FirstLastPlease 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 InformationPlease list any allergies your child has that we need to know about.Health/Medication InformationPlease 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.MessageSubmit