Junipero Serra High School 2010/2011 Online Shadow Registration

Please complete the form below to register for an upcoming shadow date.
Only dates that are listed are available for shadows.

Student Name

	Last	First
Student's

Current School:

Home Address:

City:

Zip Code:

Student's cell phone #:

Student's Email Address:

Parent's Name:

Parents's Email Address:

	Home	Work	Cell
Parent's phone:

Please select a shadow visit date:
Note: Only those dates listed are available.

Please select the time preferred:

8:50 AM

7:45 AM (Band, for experienced musicians)

Specify musical instrument(s):

What is the student's current academic level?

Standard 8th Grade Curriculum

Honors/Accelerated Curriculum

Academic Resource (prev. documented learning difference)

Indicate the student's grades:

What are the student's favorite subjects?

Please indicate your extracurricular interests by making selections below.
If the options do not apply to you, then you may leave it blank.

Arts:

Band

Chorus

Drama/Plays

Visual Art Classes

Fall Sports:

Football

Cross Country

Water Polo

Winter Sports:

Basketball

Soccer

Wrestling

Spring Sports:

Baseball

Crew

Golf

Swimming

Tennis

Track & Field

Volleyball

Lacrosse

Additional Interests:

Computers/Technology

Student Government

Publications (newspaper/yearbook)

Clubs

Other

Is there a current freshman that you would like to shadow with?

Is there something else you would like us to know? Please indicate any additional information or special requests:

Please click the 'Submit' button below to send your shadow request to the Junipero Serra Admissions Office. An email confirmation will follow shortly.

Indicates Response Required

Junipero Serra High School 2010/2011 Online Shadow Registration

Please complete the form below to register for an upcoming shadow date.Only dates that are listed are available for shadows.

Please indicate your extracurricular interests by making selections below. If the options do not apply to you, then you may leave it blank.

Please complete the form below to register for an upcoming shadow date.
Only dates that are listed are available for shadows.

Please indicate your extracurricular interests by making selections below.
If the options do not apply to you, then you may leave it blank.