Permission Slip and Student Interests

Our St. Pius X Community looks forward to hosting your eighth grade student on the day of his or her school's visit. Parents must complete this form as your student's permission slip for the visit. St. Pius X High School will transport your student to and from his or her school.

NOTE: We will provide a meal to students and staff. Please check an option below.

Student Info:

Student Questions:

Please select your meal option (breakfast tacos or bring your own):

Parent Permission

Completion of this form certifies that my student has permission to participate in the field trip stated above. I herewith release St. Pius X High School from liability for any and all claims against the school authorities/sponsors individually or collectively for any injuries, which may be received during the trip, either at the destination or in traveling to or from said destination. I also give permission to the teacher or sponsor to seek medical aid in case of emergency and then to notify me as soon as possible.

In addition, I give permission to St. Pius X High School to publish and display my student's photographic image in any medium (including but not limited to news materials, publications, the school website, printed materials, and multimedia presentations) for any use as designated by St. Pius X High School from this time forward.

Emergency Contact Information:

Parent/Guardian 1

Parent/Guardian 2

Student Interest

Please select all the SPX groups and athletics that interest you. An SPX coach or club sponsor may contact you regarding your interests.

Please provide an email address where we can send a link to your current form.

Email Address :