Request for Student In-Person Learning

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Please submit this form at least 5 business days prior to your child's return to campus.

Please email our Admissions Assistant, Betty Quinlan, at bquinlan@stmsf.org, if you have any questions.

Parent/Guardian completing this form *

First and last name

Student First Name *

Student Last Name *

Grade *

Date of Return *

Select the date of when you would like your child to return to school for in-person instruction.

May 4, 2021

Health and Safety Acknowledgement *

I acknowledge the following: Within the last 10 days before my child returns for in-person instruction, my child and members of my household (1) have NOT tested positive or been in contact with anyone positive for COVID-19, (2) traveled out of the state or country, (3) gathered at any time with any other households.

Required

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