Vimy Brazilian Jiu-Jitsu - Shadow Request Form
In accordance with Section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP), Edmonton Public Schools is authorized and required under the provisions of the School Act and its regulations to collect, use and disclose personal information that is necessary to provide educational programming and ensure a safe and secure school environment for students.

I understand that in submitting this form, the data collected will be shared with relevant Vimy Ridge Academy staff as well as the staff of the relevant partner organization in order to facilitate this request for a shadow day.

I also understand by submitting this form, I am consenting for my child to participate in academic and physical education activities at Vimy Ridge Academy.

To start, please provide the parent email address.

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Current School
Your answer
Current Grade *
Have You Ever Done Martial Arts Before? *
If So, Which Martial Art? (i.e. Karate, Taekwondo)
Your answer
Parent/Guardian First and Last Name *
Your answer
Contact Phone Number (in case of emergency on shadow day) *
Your answer
How Did You Hear About Us? (check all that apply) *
Name of Vimy Student Referrer (if applicable)
Your answer
Why Vimy Brazilian Jiu-Jitsu? (check all that apply) *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of EPS. Report Abuse - Terms of Service