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2021 Shadow Day Registration

Please complete the form below. Required fields marked with an asterisk *
Current Grade (2021 - 2022 School Year)*
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Please select the date you wish to visit*
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Please list 2 subject areas your daughter must interested in.*
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I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my daughter may be exposed to or infected by COVID-19 by attending the a shadow day and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I hereby release, covenant not to sue, discharge, and hold harmless Regina Dominican, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.*
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Confirmation Email