Safe Environment Release Form

Page 1

Please retum completed fomt to rour child's catedtist/parish office to como/ere registTiltion. .

Parent Acknowledgment Fonn This is to acknowledge that I/we have received the Co-Cathedral of St. Theresa Faith Formation Program Family Handbook. We understand and agree to cooperate with the parish polides set forth in the handbook.

,:"

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Signed (Parent/Guardian)

Date

Signed (Parent/Guardian)

Date

Student Name

Grade

Student Name

Grade

safe Environment Program

Consistent with diocesan policy, the Co-cathedral of St. Theresa will conduct safe Environment training as part of the religious education curriculum. A meeting will be held before the class is conducted to provide parents an opportunity to review the safe environment materials. ___Yes, 1 give my consent for my child(ren) to partidpate in the Safe Environment training program. _ _ No, 1 do not give my consent for my child(ren) to partidpate in the safe Environment training program.

_ _I will attend the parent class and make my decision at that time.

Signed (Parent/Guardian)

Date

Signed (Parent/Guardian)

Date

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