Prospective Families Information Request • Pius XI.org

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Pius XI.org > Prospective Students & Parents > Information Request

Prospective Parents: Complete and submit the following form to receive email announcements for upcoming Pius XI events.

Please designate a parent or guardian as the primary contact for your child or children by clicking the button to the left of Parent/Guardian.

Required fields are marked with *.

Parent/Guardian

* First Name: * Last Name: * Relationship: * Address: * Home Phone: Work Phone: Cell Phone: * E-mail Address: Place of Worship:
Are you a graduate of Pius XI?
Class Of: Name in Yearbook:

Parent/Guardian

* First Name: * Last Name: * Relationship: * Address: * Home Phone: Work Phone: Cell Phone: * E-mail Address: Place of Worship:
Are you a graduate of Pius XI?
Class Of: Name in Yearbook:

Number of students considering Pius XI:

Student Information

* First Name: * Last Name: * Date of Birth: * Gender: * Address: * Home Phone: E-mail Address: * Current School: * Current School City: * Current Grade Level:
Child's Interests (check all that apply)
Art Basketball Cross Country Dance Debate Engineering English Fitness & Wellness Football Forensics Golf Math Music Pom pons School Newspaper Science Service Projects Soccer Social Sciences Softball Swimming Theater Theology Tennis Track Volleyball World Languages Wrestling

Student Information

* First Name: * Last Name: * Date of Birth: * Gender: * Address: * Home Phone: E-mail Address: * Current School: * Current School City: * Current Grade Level:
Child's Interests (check all that apply)
Art Basketball Cross Country Dance Debate Engineering English Fitness & Wellness Football Forensics Golf Math Music Pom pons School Newspaper Science Service Projects Soccer Social Sciences Softball Swimming Theater Theology Tennis Track Volleyball World Languages Wrestling

Student Information

* First Name: * Last Name: * Date of Birth: * Gender: * Address: * Home Phone: E-mail Address: * Current School: * Current School City: * Current Grade Level:
Child's Interests (check all that apply)
Art Basketball Cross Country Dance Debate Engineering English Fitness & Wellness Football Forensics Golf Math Music Pom pons School Newspaper Science Service Projects Soccer Social Sciences Softball Swimming Theater Theology Tennis Track Volleyball World Languages Wrestling

Student Information

* First Name: * Last Name: * Date of Birth: * Gender: * Address: * Home Phone: E-mail Address: * Current School: * Current School City: * Current Grade Level:
Child's Interests (check all that apply)
Art Basketball Cross Country Dance Debate Engineering English Fitness & Wellness Football Forensics Golf Math Music Pom pons School Newspaper Science Service Projects Soccer Social Sciences Softball Swimming Theater Theology Tennis Track Volleyball World Languages Wrestling

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Pius XI High School • 135 North 76th Street • Milwaukee, WI 53213 • (414) 290-7000 • (800) 516-9974 • Email: webmaster@piusxi.org