2020-2021 Touching Safety Authorization

Child 1

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

Child 2

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

Child 3

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

Child 4

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

Child 5

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

Child 6

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

Child 7

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

Child 8

Child's First Name REQUIRED Please fill out this field. Please enter valid data.
Child's Last Name REQUIRED Please fill out this field. Please enter valid data.
Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
Child's Grade Level in Fall 2020 REQUIRED Please fill out this field.
St. Catherine's is required by the Diocese of Kalamazoo to offer this training to your child(ren) and to verify that all children enrolled in our Children's Faith Formation program have completed the mandatory training each year

Please indicate, by checking the box below, that you have either:
- WATCHED the appropriate video for your child's grade level (K-2 or 3-5) with your child and discussed the content found there. If you check "WATCHED", you are verifying that you have watched the appropriate video(s0 with your child(ren) and discussed the content found in it.
OR
- OPTED-OUT from watching the required video with your child. If you check "OPTED-OUT", you are verifying that you do NOT want your child to watch the required video. We strongly encourage you to have an age-appropriate conversation with your child about safe touching in place of this video.
Have You Watched the Appropriate Video with Your Child? REQUIRED YES, I have WATCHED the appropriate video for my child's grade level and discussed the content found in it with my child. NO, I am OPTING OUT from watching the appropriate video for my child's grade level with them. Please fill out this field.

St. Catherine of Siena Parish

Portage, MI

2020-2021 Touching Safety Authorization

Teaching Touching Safety - Grades K through 2

Teaching Touching Safety - Grades 3 through 5

Additional Information about the VIRTUS Teaching Touching Safety Program