*
Required
Student Last Name
*
required
Student First Name
*
required
Grade School
*
required
(Current school attending)
What grade are you currently in?
*
required
Please Select…
5
6
7
8
Select a Shadow Day
*
required
Lunch is provided and Permission slip is required.
Please Select…
Monday, October 14, 2024
Wednesday, November 20, 2024
Wednesday, December 4, 2024
Fridays at Tepeyac
If you selected Fridays at Tepeyac, please provide the date:
Student Cellphone
*
required
Student Email
*
required
Home Address
*
required
City
*
required
State
*
required
Zipcode
*
required
Parent/Guardian Name
*
required
First and Last
Parent/Guardian Phone Number
*
required
Parent Email
*
required
Did your mother/sister graduate from St. Casimir/Tepeyac?*
Yes
No
If your previous answer is yes, what is her name?
Is there a Student Ambassador that you would like to be paired with?
Are you coming with a friend? If so, please provide her name.
*
required
Do you have any questions?
*
required
SMS *
Please check this box to indicate you agree to receive SMS messages from Our Lady of Tepeyac High School. Message and Data Rates may apply. Message frequency may vary.
Please check this box to indicate you do not wish to receive any SMS messages from Our Lady of Tepeyac High School.
Please send a confirmation email to the address below*: