Student Shadow Day Request

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 NameLast Name
Father's Name

First NameLast Name
Mother's Name

First NameLast Name
Parent Email Address
Parent Phone Number

Area CodePhone Number
Student Primary Address*

Street Address

Street Address Line 2

CityState

Zip Code
Which Shadow Day Do You Want to Attend?*
Student Church Home*
Current Grade (18-19)*
Please list your student's interests*

AthleticsFine ArtsLeadership OpportunitiesTechnology ClubOther
Student's Current School*
Please list the names of friends your student has at DMCS.
Main reason for considering DMCS*

Spiritual DevelopmentAcademic ExcellenceAthletic OpportunitiesFine Arts Opportunities
Should be Empty: