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 *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student'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 *Wednesday, March 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 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
