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PJ23 Shadow Day Registration
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* Indicates required question
Email
*
Your email
Parent Name(s)
*
Your answer
Parent Contact Number
*
Your answer
Child's Name
*
Your answer
Child's current grade
*
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
Child's current school
*
Your answer
Shadow Day Visit
*
Other Date
Please name a current PJ23 student you wish to be your child's guide, or leave blank and a student guide will be provided for you.
Your answer
Does your child have any allergies or medical conditions we need to be aware of? (Please include food restrictions as well)
*
Your answer
By checking this box, you give permission for your child to attend school at Pope John XXIII to participate as a shadow student.
*
I agree to having my child attend school for a shadow day experience.
Required
A copy of your responses will be emailed to the address you provided.
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