SAFE ENVIRONMENT OPTOUT CONSENT FORM
Catholic Diocese of Wichita 
Chancery Office
424 North Broadway | Wichita, Kansas 67202
O 316-269-3900 | F 316-269-3902
CatholicDioceseofWichita.org

July 1, 2023

Dear Parents or Guardians,

As a parent or guardian, you have the right to choose whether your student participate in the VIRTUS Protecting God's Children Safe Environment Program. The children's portion of the VIRTUS program uses an introductory video titled The Power to Protect along with age appropriate lessons and activities led by catechists and teachers. If you determine that you DO NOT want your child to participate, please complete the "opt-out" form at the bottom of this page and return it to your child's teacher or catechetical leader. Please realize that if you do not have your child participate in these lessons, you yourself are assuming the responsibility to talk to them about the content of these courses.

We encourage you to read the Teaching Boundaries and Safety Guide so you'll be aware of the nature of the VIRTUS Protecting God's Children Safe Environment Program for Children. This document may be accessed by logging into your account at www.virtusonline.org and click on the Teaching Boundaries and Safety Guide in the left hand bar. You may also request a copy of this document from your child's school, parish DRE or the Diocesan Safe Environment Office at 316-269-3921.
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Sincerely in Christ,
OPT-OUT form for use with the VIRTUS Protecting God's Children Safe Environment Program for Children:
Saint Anthony Religious Education Program DOES NOT have my permission to present the VIRTUS Protecting God's Children Safe Environment Lessons for Children to my child.
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Child's Name (Printed) *
Parent/Guardian's Name (Printed) *
Parent/Guardian's Signature (please type your name, this will be used as your signature) *
Date *
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