Irish for a Day Wait List Form
Fall Irish for a Day dates are currently full. Additional dates for visits will be offered in January of 2019 for students that apply to Sacred Heart Cathedral by the November 23 priority deadline. Invitations for these visits will be made in December 2018. If the January visit time frame does not meet your needs, please complete the wait list form below, and we will make every attempt to accommodate you this fall.
Student Full Name: *
Your answer
Home Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Student's Current School: *
Your answer
List student's top 4 activities/interests: *
Your answer
Parent 1 Full Name: *
Your answer
Parent 1 Phone Number: *
(xxx-xxx-xxxx)
Your answer
Parent 1 Email: *
Your answer
Parent 2 Full Name:
Your answer
Parent 2 Phone Number:
(xxx-xxx-xxxx)
Your answer
Parent 2 Email:
Your answer
Please check all of the Irish for a Day dates below that you are available. (For January visits, just choose "Any available day.")
Families with more flexibility will have a greater chance of being scheduled for a visit.
I hereby give my permission for my son/daughter to participate in all school sponsored and supervised activities in coordination with the Sacred Heart Cathedral Preparatory (SHC) Irish for a Day Program. I agree to direct my child to cooperate and conform to the directions and instructions of the school personnel responsible for the Irish for a Day Program. I hereby authorize the staff of SHC to act for me according to their best judgment in any emergency requiring medical attention, and I hereby release SHC from any and all liability for any injuries or illnesses incurred during the Irish for a Day Program. I have no knowledge of any physical impairment that would be affected by my child's participation in the SHC Irish for a Day Program. I also understand SHC retains the right to use for publicity and advertising purposes the photographs and videos of students taken during Irish for a Day activities. *
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