Today's Date ... *

Student's First Name *

Student's Last Name *

Parent's Names *

Address *

City *

State *

Zip Code *

Church/Parish *

Current School *

Parent's Email Address *

Home Phone *

Parent's Mobile Phone *

Tell Us a Little About Yourself (2000 chars left) *

Favorite subjects or what classes you would like to attend (if you’re at the Honors Level in a certain subject, please make note of it): *

Sports *

Co-curricular interests (i.e. choir, student newspaper, technology, band, etc.): *

If you have a sibling or relative attending Guerin Catholic High School, please provide his/her name:

Sibling Grade

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Thank you for submitting your Golden Eagle for Day form.

Someone will be in contact with you to confirm your shadow date.  If you have an issue requiring immediate attention, please do not hesitate in contacting us at 317.582.0120.

Thank you again and God bless you!