Spend the Day

Student's First Name REQUIRED Please fill out this field. Please enter valid data.

Student's Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Visit REQUIRED Please fill out this field.

Current School REQUIRED Please fill out this field. Please enter valid data.

Current Grade REQUIRED Please fill out this field.

Date of Birth (mm/dd/yy) REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parent's Name REQUIRED Please fill out this field. Please enter valid data.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Parent's Email REQUIRED Please fill out this field. Please enter an email address.

Name of another adult as a secondary contact if parent cannot be reached in an emergency. REQUIRED Please fill out this field. Please enter valid data.

Secondary Contact's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Has the student attended a Spend-the-Day at Cabrini before? REQUIRED Please fill out this field.

Does the student have younger sisters? REQUIRED Please fill out this field.

Is student's mother, grandmother, or sister a Cabrini Alumna? REQUIRED Please fill out this field.

If yes, please state the alumna's name. Please enter valid data.

If yes, please state the alumna's graduation year. Please enter valid data.

If yes, please select the alumna's relationship to the student. Sister Mother Grandmother

If your daughter knows the name of a current Cabrini student with whom she would like to spend the day, please type her name here. Please enter valid data.

If your daughter does not know a Cabrini student with whom she would like to spend the day, please indicate her interests below and we will pair her with someone.

Academics English Math Science Social Studies

Fine Arts Art Music Theater

Other (please list any other interests) Please enter valid data.

What is the grade level preference for your spend the day host? REQUIRED 8th 9th 10th 11th 12th Please fill out this field.

I grant permission for my child to be photographed or filmed by Cabrini High School's approved internal media representatives and allow my child’s photograph/video to be published in internal and/or external media publications. REQUIRED Please fill out this field.