* Required

Have you applied to LRCA?*

You must have a completed application on file in order for your student to shadow.

Yes No

Student First Name:required

Student Last Name:required

Current School:required

Current Grade:required

Choose a Shadow Date:required

Sports / Extracurricular Interests:

Is there a current LRCA student in your grade level your student would like to shadow?

Student pairing based on schedule and availability.

Parent/Guardian First Name:required

Parent/Guardian Last Name:required

Parent Email:required

Phone Number:required

Address:required

City:required

Zip:required

Please send a confirmation email to the address below*: