Student Shadow Day Request
DMCS invites students who are interested in attending our school to experience a day at Des Moines Christian. You will be paired with a student in your current grade who has similar interests.
Student Name
*
First Name
Last Name
Father's Name
First Name
Last Name
Mother's Name
First Name
Last Name
Parent Email Address
Parent Phone Number
-
Area Code
Phone Number
Student Primary Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Which Shadow Day Do You Want to Attend?
*
Please Select
May 3 (current 9th & 10th graders)
Student Church Home
*
Current Grade (18-19)
*
Please Select
Kdg
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Please list your student's interests
*
Athletics
Fine Arts
Leadership Opportunities
Technology Club
Other
Student's Current School
*
Please list the names of friends your student has at DMCS.
Main reason for considering DMCS
*
Spiritual Development
Academic Excellence
Athletic Opportunities
Fine Arts Opportunities
Submit
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