Grapevine Faith Christian School Elementary shadow request form
Please fill out the following form, and a member of our Admissions team will contact you with details!
Email address *
Parent name: *
Your answer
Parent cell phone: *
Your answer
Parent email: *
Your answer
Student name: *
Your answer
Student gender: *
Current grade in school: *
Grade entering for 2019-2020 school year: *
Interests: *
Your answer
All shadow students will be paired with a Faith student of the same gender in the same current grade. Does your student already know a specific Faith student in his or her same grade, with whom he or she would wish to be paired? Due to schedules and other constraints, we are not able to accommodate all requests, but we will do our best!
Your answer
Does your student have a diagnosed learning difference and/or receive any accommodations? We are limited in the number of students we can serve in our 504 program, so the Admissions Office will contact you with further details. *
Does your student have any allergies or medical conditions Grapevine Faith should be aware of during his or her time on our campus? If yes, please describe:
Your answer
If the answer to the above question is yes, do we have your permission to share the information you've provided with our campus nurse and teachers?
Date you would like to shadow: *
Other comments/notes:
Your answer
Agreement and Release from Liability:
Except to the extent of damages caused by the gross negligence or willful misconduct of Faith Christian School, Inc., I hereby agree to indemnify, release and hold harmless Faith Christian School, Inc., its officers, directors, and employees, and any other organization co-sponsoring the school's shadowing program, from and against any and all liability or injuries which I or my child may suffer arising out of or in any way connected with my or my child's participation in the shadowing program. In case of emergency, arising during or in connection with any activity, I authorize any person in charge of the activity to consent to emergency care, at my expense. I understand that Faith Christian School, Inc. is not obligated to carry any insurance to cover medical and/or dental treatment for me or my child. I agree to pay any damages or expenses incurred by Faith Christian School, Inc. due to my or my child's negligence or disregard of the rules of the school.
List parent name(s): *
Your answer
Signature: *
Your answer
Date: *
Never submit passwords through Google Forms.
This form was created inside of Faith Christian School. Report Abuse - Terms of Service