Shadowing Registration

Future Rock Information

Student First Name:*
Student Last Name:*
Nickname
Date of Birth*
Current School*
Grade:*
Current Academic Level*

Academic Interests

Academic Interest*
Other interests or information that will help us make your son's visit great!
T-shirt size (adult sizes)*

Select a Date

:

  • Sept. 11, 12, 13, 17, 18, 19, 20, 23, 24, 25, 26, 27
  • Oct. 1, 2, 3, 4, 7, 8, 9, 10, 11, 23, 24, 25, 28, 29, 30, 31
  • Nov. 1, 5, 6, 7, 14, 15, 18, 19, 20, 21, 22
  • Dec. 3, 4, 5, 6, 9, 10, 11, 12 

Note: if you are interested in shadowing on a date not listed above please call Ms. Melanie Hughes at 736-2109.

Select a shadow date*
Freshman Host Requested

Parent Information

Parent First Name*
Parent Last Name*
Mailing Address*
Parent E-mail*
Primary Phone*
-
Son's Cell Phone
-

Include if you would like the upperclassman host to send an introductory text the night before.

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