Shadow Day Registration

Shadow Day Registration

Select your date and time.
This form is required for any student participating in a shadow day at Blue Ridge Christian School (BRCS). BRCS policy does not permit students to have any device that connects to the internet on their person during the school day. We request that if shadowers wish to bring a cell phone or other smart device with them, they must check that device into the office upon arrival. We recommend you read the Shadowing Day Q&A in preparation for the student's visit.
Parent/Guardian Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com

Address

Student Name

First Name Last Name
Date of Birth

Month Day Year
Date Date Picker Icon
Student Name

First Name Last Name
Date of Birth

Month Day Year
Date Date Picker Icon
Grade(s) entering
Choose Day to Shadow

Friday, January 17 Thursday, February 6 Friday, February 14 Thursday, March 19 Friday, March 20
How did you hear about BRCS?
Are there any medical concerns/allergies we need to know about?
Are there any social or behavioral concerns we need to know about?
I hereby give permission for my child to participate in any BRCS activity or event. I hereby release, indemnify and hold harmless BRCS, including employees, volunteer workers, and students from any and all liability, damage, claim of any nature whatsoever arising out of or in any way related to my child’s participating in this visit to BRCS and any activities involved in this visit. My signature below indicates that I have read, understood and freely signed this agreement.
Comments or Questions
By signing below, I declare that I am the parent/legal guardian of:
Parent/ Guardian Signature
Should be Empty: