Safe Environment Homeschooling Training Verification Form

Catholic Diocese of Arlington

The United States Conference of Catholic Bishops’ Charter for the Protection of Children and Youth and the safe environment policies of the Diocese of Arlington require that all children/youth in our schools and religious education programs be given safe-environment training that is age-appropriate and in accord with Catholic moral principles. The Diocese of Arlington provides such training to grade school children in Grades 1-8 curricula entitled, Formation in Christian Chastity and Circle of Grace. The Diocese also offers three curricula for Grades 9-12 entitled, Circle of Grace, Called to Protect for Youth, or Tricked: Inside the World of Teen Sex Trafficking. Information on the safe-environment programs for children is available on the diocesan webpage at:

https://www.arlingtondiocese.org/Child-Protection/Youth-Training-Programs/.

Homeschooling parents that are enrolled with their parish religious education program are required to provide the following verification form that you:

1. Used one of the safe environment programs approved by the Bishop

2. Provided the training in accordance with the lesson plans

3. Completed the training within the dates provided by the parish

If you choose not to have your child participate in this training, we ask that you complete this form, with the names for each child you wish to opt-out.

How many children are you opting-out?(Required)

First Child's Name(Required)

First Last

First Child's Grade(Required)

Opt-out Second child

Second Child's Name(Required)

First Last

Second Child's Grade(Required)

Opt-out Third child

Third Child's Name(Required)

First Last

Third Child's Grade(Required)

Opt-out Fourth child

Fourth Child's Name(Required)

First Last

Fourth Child's Grade(Required)

Opt-out Fifth child

Fifth Child's Name(Required)

First Last

Fifth Child's Grade(Required)

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Section Break

Name Of Parent/Guardian(Required)

First Last

Email(Required)