Mountaineer Shadow Days

* = Required

Shadow Day Date
(please check all that apply):

Note: One of these dates or the other date below is required.
Election Day - Tuesday, November 7, 2017MLK Day - Monday, January 15, 2018Catholic Schools Week - Friday, February 2, 2018Spring Break - Friday, April 6, 2018

Other Date:


Name (First and Last Name)*

Phone*

Email*

Preferred Method of Contact
EmailPhone

Child 1*:   
Child 2:   

Child 3:   
Child 4:   

Please provide any additional information you would like to share.

What are your child's/children's areas of interest?
Please check all that apply:

English/LiteratureScienceSocial Studies/HistoryMathMusicDramaArtAthleticsComputersOther

How did you hear about us?
Please check all that apply:

Internet SearchEmailFriend/FamilyAdvertisementFacebookTwitterNews ArticleParish Bulletin
Event (please list):
Other (please list):