Student Name *

First Name

Last Name

Requested Shadow Date

We will email to confirm this date upon receiving the request.

MM

DD

YYYY

Parent Name *

First Name

Last Name

Parent Phone *

(###)

###

####

Optional: Mass at St. Vincent de Paul at 8:15am

Join our students and faculty for Mass, if desired. A parent will need to transport the student to Chesterton Academy following Mass.

Yes, we will attend 8:15am Mass

No, we will not attend 8:15am Mass