Information and Consent Form

Please check all that applies to you and your family and provide the required digital signatures to indicate you have read and agree.


Parents understand that a $175 registration fee is required when students register each year for courses. That money is to be attached to the printed course selections and submitted with all other forms.

Student and parents have read the Nebraska School Activities Association (NSAA) Student and Parent Consent Form, understand and agree to the terms, including the warning of potential risk of injury inherent in participation in school activities. Permission is given for the above named student to practice and compete for Pius X High School


Student and parents or guardians have read the literature about making their home a Safe Home. The student has read the “Drug Free/Violence Free Pledge” and pledge:

  • not to possess or use alcohol, tobacco, marijuana or other drugs or use violence.
  • to encourage friends not to use alcohol, tobacco, marijuana, other drugs or violence.

Parents have read and agree to provide a safe home for all students:

  • I/We will actively supervise all gatherings or parties of youth in our home and on our premises.
  • I/We will not allow the possession or use of alcohol, tobacco, or marijuana, other drugs or violence by youth in our home or on our premises.
  • I/We will set expectations for my/our children by knowing where they are going, whom they are with, what their plans are, and when they are to return home.
Student Digital Signature
Parent(s) Digital Signature
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