Shadow Form

Shadow Form

Shadowing begins October 11, 2022
Complete the Shadow Form below and you will be contacted regarding your Shadow Day at Xavier.

2022 Shadow Days are now full. We are looking forward to seeing you after the New Year.

2023 Shadow Days begin January 17.

*No shadow spots are available on the following dates:

3/13-3/16, 4/10-4/13

The last day to shadow for the year is April 27.
Desired Shadow Date-ONLY AVAILABLE ON MONDAYS, TUESDAYS, WEDNESDAYS AND THURSDAYS (Please allow 2 days for us to confirm your date):*

MonthDayYear
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: