St. Edmond Distance Learning Request Form
Families who wish to have their students who wish to enroll in our Distance Learning - Family Choice option need to complete this form. Families must commit to the distance learning model through the first semester which ends December 18.

Please see the Return to Learn Plan posted on the St. Edmond website for details on distance learning and the additional guidance document.

All requests need to be made by the end of the day on August 12th. Families must also have their tuition agreement by August 12 for the request for Distance Learning to be valid.
Email address *
Student 1 - First and Last Name *
Grade (20-21) *
Required
Student 2 - First and Last Name
Grade (20-21)
Student 3 - First and Last Name
Grade (20-21)
Student 4 - First and Last Name
Grade (20-21)
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Parent/Guardian Mailing Address *
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This form was created inside of Saint Edmond Catholic School.