Student Name *

First Name

Last Name

Grade for the 2025-2026 School Year: *

11th Grade

10th grade

9th Grade

8th Grade

7th Grade

6th Grade

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

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Preferred Date

MM

DD

YYYY

Half or Full Day Shadow (Warrior for a Day)

Half Day

Full Day