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 NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade Entering
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade Entering
Student Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade entering
If shadowing in MS or HS: Is your child in Spanish? If so, what level?
If shadowing in MS and HS: What math class is your child currently taking?
Does your child currently play any sports?
Date

MonthDayYear
Date
Second choice

MonthDayYear
Date
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: