Student Shadow Form

In order to keep you child safe while they are in our care, please submit the following form once your shadow day has been confirmed.

  • Student's name * Required
  • Mother's Name * Required
  • Father's Name * Required
  • Name of an emergency contact person (will only be contacted if parents connot be reached) * Required
  • Student Medical Information

  • Does your child have a severe allergy that requires a prescription EpiPen * Required
    If YES, your child should bring an EpiPen with them on shadow day and give to the school nurse.
  • Does your child have asthma and use an inhaler? * Required
    If YES, your child should bring an inhaler with them on shadow day.
  • Please list any other medical conditions (including allergies) that the school nurse should be aware of before treating your child. If there are none, please write "none".

    If your child will require any medication during the school day, please contact our school nurse Lou Jones before their visit.

  • Medication Release * Required
  • Medical Release * Required
  • Name of Person Submitting Form * Required
  • Email address to confirm receipt of this form * Required
The Geneva School
The Geneva School

Nothing from July 15, 2019 to July 20, 2019.

Nothing from July 15, 2019 to July 20, 2019.

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