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Nautili for a day
Please complete the form below to schedule your child(ren) for a shadow day at New Orleans Charter Science and Math High School (Sci High). Please note that a separate form should be completed for each child. Spaces are limited but we will ensure siblings are paired on the same day. Please email kmuse@noscihigh.org if you have any questions.
Schedule a shadow day
Please rank choices with your first preference at the top of the list.
Requested date *
January 8, 2020
February 5, 2020
March 4, 2020
April 1, 2020
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Student Information
First Name *
Your answer
Last Name *
Your answer
Gender
Current grade level *
Expected year of enrollment in Sci High *
Please note any health concerns, allergens, or physical/emotional/medical need which may limit full participation in any activity, or require special consideration during the visit. Please include medicines such as inhalers or EpiPens, any dietary restrictions, etc. (Please enter "N/A" if this does not apply to your student). *
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Student hobbies, extracurricular activities or special interests:
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Parent/Guardian Information
Guardian First Name *
Your answer
Guardian Last Name *
Your answer
Guardian phone number
Your answer
Guardian email address
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Emergency contact information
Please enter contact information for someone other than the guardian listed above who may be contacted in case of an emergency.
Emergency First Name *
Your answer
Emergency Last Name *
Your answer
Emergency phone number *
Your answer
If either myself (guardian) or the listed emergency contact is unable to be reached in the case of an emergency, I hereby give permission to a medical professional selected by the school to provide necessary treatment for my child. (Please type your full name and the date below). *
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