Obituary Submission Form

SPX Obituary Submission Form

If you would like to report the death of an alumnus or anyone within the St. Pius X High School Community, please complete the form below. To include a photograph (high resolution) with your obituary, please email it along with your name, class year and name of deceased to alumni@stpiusx.org

Person Submitting Information:

Name:

Relation to Deceased:

Phone Number:

E-mail Address:

Deceased Information:

Name:

Date of Death: -- mm/dd/yy

SPX Relations: Class Year Current Student Current Parent
Past Parent Friend Benefactor Other

Name of Funeral Home: Date of Funeral: -- mm/dd/yy

Address of One Survivor:

Name:

Street Address:

City

State/Province

Zip/Postal Code

Additional Information (Names of survivors and their relationship to the deceased (please note any St. Pius X alumni)

Would you like this information published in the Pius News?

Yes
No

Would you like this information published on the web site?

Yes
No

Would you like your loved one remembered by name in the daily prayer intention of the school community?

Yes
No

Name:
Relation to Deceased:
Phone Number:
E-mail Address:

Name:
Date of Death:	-- mm/dd/yy
SPX Relations:	Class Year Current Student Current Parent Past Parent Friend Benefactor Other
Name of Funeral Home: Date of Funeral: -- mm/dd/yy

Name:
Street Address:
City
State/Province
Zip/Postal Code