370 Campus Dr. | Arcadia, CA 91007
Please fill out the following form. When you submit the form, you will be redirected to a secure payment site.
If “yes”, enclose a copy of the most recent applicable court order(s).
By signing this document, I give permission for my child/children/youth to participate in this faith formation program, whether conducted onsite or online.
PLEASE NOTE: This page has TWO separate signature lines. Please read and complete each area.
The undersigned parent hereby release Holy Angels Parish and staff from any liability in connection with such use.
The parent acknowledges having read this release, having the opportunity to consider and understand its terms and does hereby execute it voluntarily with knowledge of its significance.
We at Holy Angels are committed to your child’s safety and well-being. The Empowering God’s Children and Young People© Safety Program is provided by the Archdiocese of Los Angeles as an ongoing effort to educate children and young people through classroom lessons and activities on ways to maintain their own personal safety. It is based on catechetical principals to help them know they are loved by God and that He wants them to be healthy and safe.
The Empowering God’s Children and Young People© Safety Program will be presented to our students during the month of April. The topics for this year’s lesson include The Five Body Safety Rules, Safe and Unsafe Adults, and Internet Safety. Each lesson includes video presentations, classroom discussion, individual and group activities, as well as, a “Take Home Activity” for students to complete with a parent/guardian. A Summer Safety Lesson will also be presented at the end of each year. We encourage all parents to read the “Working Together to Prevent Child Sexual Abuse” brochure which will be distributed at the beginning of the year.
Please complete the form below for your child to participate in the 2020/2021 program.
I understand that for my child to participate in the Empowering God’s Children and Young People© Safety Program, I need to fill out this Parent Permission Form. I am specifically giving permission for the Empowering God Children and Young People© Safety Program to be presented to my child.
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