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Distance Learning Application

This form is to let St. Pius X know that you request that your student attend distance learning only for the remainder of the third quarter. Completing this application is not a guarantee that your student will be moved from on-campus learning to distance learning. Someone from the school will contact you once a decision has been made.

I request that the above-named child participate in distance learning for the third quarter of the 2020-2021 school year.

Students participating in distance learning are not permitted to participate in co-curricular activities. If you have special considerations that you would like St. Pius X High School leadership to consider for your student, please include them below.

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I request that the above-named child participate in distance learning for the third quarter of the 2020-2021 school year.

Students participating in distance learning are not permitted to participate in co-curricular activities. If you have special considerations that you would like St. Pius X High School leadership to consider for your student, please include them below.


I request that the above-named child participate in distance learning for the third quarter of the 2020-2021 school year.

Students participating in distance learning are not permitted to participate in co-curricular activities. If you have special considerations that you would like St. Pius X High School leadership to consider for your student, please include them below.