Vimy Brazilian Jiu-Jitsu - Shadow Request Form
In accordance with Section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP), Edmonton Public Schools is authorized and required under the provisions of the School Act and its regulations to collect, use and disclose personal information that is necessary to provide educational programming and ensure a safe and secure school environment for students.
I understand that in submitting this form, the data collected will be shared with relevant Vimy Ridge Academy staff as well as the staff of the relevant partner organization in order to facilitate this request for a shadow day.
I also understand by submitting this form, I am consenting for my child to participate in academic and physical education activities at Vimy Ridge Academy.
To start, please provide the parent email address.
Identify the type of shadow experience you are looking for:
Full Day Shadow (academics + Brazilian Jiu-Jitsu)
Afternoon Shadow (Brazilian Jiu-Jitsu only)
Have you requested to shadow another Vimy program this year?
Student First Name
Student Last Name
Prefer not to say
Have You Ever Done Martial Arts Before?
If So, Which Martial Art? (i.e. Karate, Taekwondo)
Parent/Guardian First and Last Name
Contact Phone Number (in case of emergency on shadow day)
How Did You Hear About Us? (check all that apply)
Current Vimy Student
Name of Vimy Student Referrer (if applicable)
Why Vimy Brazilian Jiu-Jitsu? (check all that apply)
Victim of Bullying
Interest In Martial Arts
Current Martial Artist
Student-Athlete's Friends Attend Vimy
A copy of your responses will be emailed to the address you provided.
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This form was created inside of EPS.