Brother Rice Shadow Day Form
All students should arrive by 8 AM and report to Mr. Frasor in the main office. Shadows should wear dress slacks, dress shoes and a collared shirt (Brother Rice t-shirts are acceptable on Fridays). The students will be treated to lunch and may be picked up at 2:45. Please contact Mr. Frasor with any questions at bfrasor@brrice.org or 773-429-4351
Shadow Day or Family Campus Visit *
Student First Name *
Your answer
Student Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Grade School *
Your answer
Current Grade School Level *
Parent/Guardian Email Address *
Your answer
Home Phone Number *
Your answer
Parent/Guardian Cell Phone Number *
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Shadow Birthdate
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Student Allergy/Accommodations
Please list any allergies or accommodations that your son may need during his visit.
Your answer
Shadow/Visit Day Choice *
Dates NOT available to shadow: 9/3, 10/10, 10/19, 10/22, and 11/21.
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Brother Rice Host Request
Fill in the name of a current Brother Rice student you would like your son to shadow. (Not Required)
Your answer
Parent/Guardian eSignature *
My son has my permission to spend the day at Brother Rice High School as a guest on any of the above chosen dates. I understand that he will abide by all the rules and regulations of Brother Rice High School. I have contacted his grade school to inform it that he will not be in school on the day of the visit. I can be reached at the phone number above in case of an emergency.
Your answer
Signature Date *
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