SHADOW VISIT

Required

Student Information

Namerequired

First Name

Last Name

Genderrequired

Girl

Boy

Current Graderequired

Current Schoolrequired

Student Emailrequired

Street Addressrequired

City, Staterequired

Zip Coderequired

Birthdayrequired

Must contain a date in M/D/YYYY format

T-Shirt Size (please indicate Youth or Adult size)required

What types of activities are you interested in? (i.e. sports, clubs, classes etc.)required

Parent/Guardian Information

Namerequired

First Name

Last Name

Phone (please indicate if cell or home)required

Email Addressrequired

Bishop DuBourg Connections

Is the student related to any current DB students? If so, please list them below.

Is the student related to any current DB Alumni? If so, please list them below.

Bishop DuBourg Event Information

Please select the Shadow Date you would like to attendrequired

Emergency Contact Namerequired

First Name

Last Name

Emergency Contact Numberrequired

Do you give permission for your child to be photographed? (pictures can be used on Social Media and/or marketing materials. We will never post their name.)required

Do you give permission to your child to walk home?required

Does your child have any dietary restrictions?required

Any additional questions or topics that you would like us to cover? (i.e. allergies or helpful information)

Do you have any questions?

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SHADOW VISIT