Touching Safety Opt out form
St. Ambrose Catholic School will present a sexual abuse prevention program titled, Touching Safety, to
students in grades K-8 during the week of either May 3-7 or May 10-14 (depending on schedules of
individual classes). Catholic Diocese across the country utilize this program annually. The Diocese of
Springfield in Illinois expects schools to present this program annually. To have your child opt out, please respond by 8:00 am on Monday May 3.
As a parent, you have the right to choose whether your student participates. If you would like to preview the content, please contact the school office and the materials will be made available. If you determine that you would like to opt your child or children out of participation. *
Name of Parent *
Name of Student *
Submit
Never submit passwords through Google Forms.
This form was created inside of St. Ambrose School . Report Abuse