Shadow Form

Shadow Form
Complete the Shadow Form below and you will be contacted regarding your 2025-2026 Shadow Day at Xavier.
Desired Shadow Date-(Please allow 2 days for us to confirm your date):*
Student's Name*

First NameLast Name
Student's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Email*
example@example.com
Student's Birthday:*
MM/DD/YYYY
Student's Gender:*
School Currently Attending:*
Current Grade (check one)*

8th9th10th11th
Student's T-shirt Size:*
Student's Interests or Additional Comments:*
How did you hear about us?
Parent's Name*

Parent's First NameParent's Last Name
Parent's Email:*
example@example.com
Parent's Cell #:*

Area CodePhone Number
Xavier College Prep*
Should be Empty: