7th Grade Shadow Day Registration

Student's Namerequired

First Name

Last Name

Addressrequired

Cityrequired

Staterequired

Ziprequired

Parent/Guardian's Namerequired

First Name

Last Name

Parent/Guardian's Phone Numberrequired

Please enter using the format XXX-XXX-XXXX (e.g., 215-268-1026)

Parent/Guardian's Emailrequired

Relationship to Student

Emergency Contact's Namerequired

First Name

Last Name

Emergency Contact's Phone Number

Relationship to Student

Student's Current Schoolrequired

Student's Current Graderequired

Student's T-Shirt Sizerequired

Adult sizing

Does your daughter have any allergies/medical condition requiring assistance?requiredIf yes, please contact AFiganiak@NazarethAcademyHS.org for specifics.

Yes

No

If yes, please contact AFiganiak@NazarethAcademyHS.org for specifics.

If there is a particular Freshman student your daughter would like to shadow, please enter her name here (or leave blank, if no preference):

We will do our best to honor all requests but are guaranteed due to scheduling and availability.

List 2-3 of your daughter's academic and/or extracurricular interests. Please note: Academic interests will be used to help determine the student your daughter will shadow and the classes your daughter will see, but is not used for Admissions purposes.required

Honors courses, French, soccer, theater, etc.

Please select the date your daughter would like to shadow at Nazareth.

How did you hear about Nazareth?requiredPlease check all that apply.

Please check all that apply.

7th Grade Shadow Days

7th Grade Shadow Day Registration