Student Shadow Form

Please complete this form to request a student shadow day. Please note, based on the answers, we may or may not be able to permit a student to shadow. In addition, remember that shadowing the school does not guarantee acceptance to the school.

Student Name

Guardian(s) Name for

Parent(s) or Guardian(s) Name(s)

Phone Number

Email Contact

Emergency Phone Contact, Name and Phone

What school does the student shadowing currently attend?

Grade

Has the student ever had disciplinary problems at school including suspension or expulsion?

Has the student ever been the subject of a police investigation, currently awaiting any court procedures, or have a criminal record?

Does your student have any medical issues you want the school to know about while they are on-campus?

Do you attest all the information inputted is true?

By completing this form, I give consent for my child to attend Lehigh Christian Academy for a Student Shadow Day and authorize Lehigh Christian Academy staff members to act for me in the event of an emergency, accident, or illness involving my child. I understand that my child will be responsible for adhering to all rules and policies of Lehigh Christian Academy during the visit.