My Body is Mine! Program Form

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My Body is Mine! Program Form

If you Do Not wish your child to participate in the My Body is Mine! Program, please complete this form.

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The Child Advocacy Center's program, My Body is Mine! is a body boundary safety and awareness program designed to give K-2nd grade children the basic skills and understanding they need to get help and protection should they find themselves in an abuse situation.

Name of Child *

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Name of Parent/Guardian *

Your answer

Name of School *

Your answer

Grade *

Your answer

Reason(s) for not participating

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This form was created inside of Affirming Heart. Report Abuse