*
Required
Have you applied to LRCA?*
We must have a completed application on file before your student can shadow.
Yes
No
Student First Name:
*
required
Student Last Name:
*
required
Current School:
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required
Current Grade:
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required
Please Select…
8
9
10
11
12
Choose a High School Shadow Date:
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required
Please Select…
November 6
November 13
January 22
January 29
February 12
February 19
February 26
March 5
March 12
March 19
April 2
April 9
April 16
April 23
Sports / Extracurricular Interests:
Is there a current LRCA student in your grade your student would like to shadow?
Student pairing based on schedule and availability.
Parent/Guardian First Name:
*
required
Parent/Guardian Last Name:
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required
Parent Email:
*
required
Phone Number:
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required
Address:
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required
City:
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required
Zip:
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required
Please send a confirmation email to the address below*: