AGC Shadow Day Registration

EXPERIENCE A DAY AT THE ACADEMY FOR GLOBAL CITIZENSHIP
Shadow Day, Friday, February 3, 2017
For 3rd – 8th Graders
7:30 a.m. – 3:45 p.m.

Prospective Students must register by January 27, 2017 in order to attend


Location: 4941 W. 46th St., Chicago, IL 60638


Please note this form is not and application and attending shadow day does not affect enrollment

Email address *
Parent First and Last Name *
Your answer
Telephone *
Your answer
Other Telephone Contact
Your answer
Full Name of Student Attending Shadow Day *
Your answer
Time
Current School ( we will not contact your school)
Your answer
Current Grade Level (2016-2017)
Are there any allergy, dietary restrictions, or medical conditions that we should be aware of? *
Please describe condition
Your answer
Please let us know if there is a particular AGC student with whom you would like to spend the day. We will make every effort to honor your request.
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Telephone *
Your answer
Have you submitted and application?
Questions?
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How did you hear about us?
Your answer
Please complete the captcha before submitting the form.
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