Phillips Preparatory Shadow Form
* Required
Student Must Wear Current School Uniform When Shadowing
Student Name
*
Your answer
Current School
*
Your answer
Parent Phone Number
*
Your answer
Parent Email Address
Select Date (Tuesday or Thursday) 1st Choice
*
MM
/
DD
/
YYYY
Select Date (Tuesday or Thursday only) 2nd Choice
*
MM
/
DD
/
YYYY
Select Date (Tuesday or Thursday only) 3rd Choice
*
MM
/
DD
/
YYYY
Time
*
Choose
7:30-10:30
10:30-1:30
Lunch at Phillips
*
Yes
No
All MCPSS students may use their lunch number at Phillips Prep
Required
Submit
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