MCA Middle School Shadow Day Registration

Please complete the following form and note the important information. We look forward to hosting your student as they consider Metro Christian Academy for their future.

The shadow experience will begin at 8:30am. Please have your student arrive in the Admissions Office where they will meet their host. They will attend classes, chapel, and lunch, which will be provided. However, they may bring their own lunch if they would prefer.

Students should wear khaki pants/shorts or jeans with no rips/tears, a polo style shirt or a solid color shirt. Athletic shoes are allowed.

Pick up will be at 1:00pm in the Admissions Office.

Shadow Students Name * First Last
Current School *
Current Grade *
5th 6th 7th
List extracurricular and honors/on-level interests *
Parent/Guardian Name * First Last
Parent/Guardian Phone Number * - ### - ### ####
Parent/Guardian Email *
Primary Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Emergency Contact

This following persons may be called in case of illness or accident if the parents cannot be reached:
Physician Name * First Last
Physician Phone Number * - ### - ### ####
Relative/Friend Name * First Last
Relative/Friend Phone Number * - ### - ### ####
Health Record

Please list any health issues, medications, or allergies that require special attention
Consent and Digital Signature

In the event that an emergency should arise, I hereby grant the representative of Metro Christian Academy my permission to do whatever is necessary to ensure the safety and well-being of my child, including, but not limited to, obtaining and authorizing student medical treatment. All responsibility for a visiting student's medical expense is assumed by the parents/guardians.
Parent/Guardian Legal Name *

Clear

MCA Middle School Shadow Day Registration

MCA Middle School Shadow Day Registration

Emergency Contact

Health Record

Consent and Digital Signature