Student First Name:
Student Last Name:
Parent First Name:
Parent Last Name
Parent Email:
Parent Phone Number:
Student Gender:
Student Birthday:
Month
Day
Year
Language Spoken at Home:
English
Spanish
Other
Current School:
Is your student currently in 8th grade? (Please note, this event is only for 8th graders)
Yes
Lion For A Day:
Friday, October 17
Friday, November 7
How will your student be dismissed:
I will pick-up my student at 12:45pm
My student will be leaving by themselves
Submit
Lion For A Day