LAKE VIEW HIGH SCHOOL
4015 North Ashland Avenue | Chicago, Illinois 60613
Telephone 773.534.5440 | Fax 773.534.5908 | www.lakeviewhs.com
_________________________________________________________________________________________________ Scott Grens, Principal | Angela Newton, Assistant Principal | Meghan Sovell, Assistant Principal | Toney Vast-Binder, Assistant Principal
LAKE VIEW HIGH SCHOOL Student Shadow Parent/Guardian Permission Slip Lake View High School is excited to showcase our school for your child. Please submit Parent/Guardian Permission Slip prior to your child’s visit by returning the form to the Main Office. WE WILL CONTACT YOU TO NOITFY YOU OF THE SCHEDULED DATE FOR THE STUDENT SHADOW VISIT. Please direct any questions or concerns to our Student Shadow Coordinator, Mr. Brett Bildstein, at [email protected] or 563-­‐581-­‐8671. Go Wildcats! Student Name _____________________________________ Student Email _____________________________________ Current School _____________________________________ Grade ________ Parent/Guardian Name _____________________________________ Phone _____________________ Parent/Guardian Email _____________________________________ Second Contact _____________________________________ Phone _____________________ * Preferred Date to Shadow/Visit Lake View High School ________________ (* NOTE: LVHS WILL CONTACT YOU TO NOTIFY YOU OF THE SCHEDULED DATE FOR THE STUDENT SHADOW VISIT. PLEASE DO NOT ARRIVE WITHOUT NOTIFICATION.) Student Health Concerns (if applicable): _____________________________________________________________________________
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_____________________________________________________________________________ By signing this form, I give consent for my child/ward to attend Lake View High School to participate in a Student Shadow Day and authorize Lake View High School staff members to act for me in the event of an emergency, accident, or illness involving my child/ ward. I understand that I am responsible for my child/ward arriving at Lake View at 9:00 AM as well as providing transportation for my child to be picked up at 1:00 PM. WE WILL CONTACT YOU TO NOITFY YOU OF THE SCHEDULED DATE FOR THE STUDENT SHADOW VISIT. Parent/Guardian Name _______________________ Parent Guardian Signature _______________________ Date ________ Honor | Ownership | Mastery | Education