Safe Environment Permission / Opt out form

: Parish/School Name: St. Jerome, Fancy Farm, KY
: Diocese of Owensboro Minors’ Safe Environment Training Permission/Opt-Out Form (Form required for any registered participant)
: Safe Environment training for minors:
• recognizes the God-given dignity of all Church participants, including the young.
• is an annual teaching requirement within Catholic schools and church youth programs.
• helps children/youth experience a healthy Church setting as they develop their relationship with Christ.
• focuses on safe personal boundaries, protection from physical/sexual boundary violations, and appropriate trusting relationships with adults.
• has age-appropriate training materials available for parental review.
Parent / Guardian Name:
Phone Number:
Address:
Choose one:: The child/ren listed below may participate in the parish/school’s Safe Environment Circle of Grace training.The child/ren listed below may not participate in this parish/school’s Safe Environment Circle of Grace training this year. (The parish/school will still provide relevant educational information for you and your family because of the importance of this topic.)I, the parent or guardian of the child/ren listed below, have completed our own Safe Environment Circle of Grace training this year, as provided by the parish/school.
Student's name / Grade:
Student's name / Grade:
Student's name / Grade:

St Jerome Catholic Church