Personal Safety Curriculum Notification

Personal Safety Curriculum Notification
The instructional materials used in the agency personal safety curriculum are available for review by the parents or legal guardians.

I/We acknowledge that we have been provided an opportunity to review the agency’s personal safety curriculum, and have been notified of the sexual abuse/personal safety curriculum for our child/children.
Child's Name*

First NameLast Name
Signature of Parent or Legal Guardian*

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Date*

MonthDayYear
Date
Signature of Parent or Legal Guardian

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Date

MonthDayYear
Date
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