Circle of Grace Opt-Out

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- Circle of Grace Opt-Out Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Parent
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  I understand that the Circle of Grace Program is part of the parish's safe environment requirements, and I have received the parent information and materials.
  
  I DO NOT want my child to participate in instruction at the parish and assume responsibility to teach the content to my child at home.
  I Agree Please select this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  I understand that the Circle of Grace Program is part of the parish's safe environment requirements, and I have received the parent information and materials.
  
  I DO NOT want my child to participate in instruction at the parish and assume responsibility to teach the content to my child at home.
  I Agree Please select this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  I understand that the Circle of Grace Program is part of the parish's safe environment requirements, and I have received the parent information and materials.
  
  I DO NOT want my child to participate in instruction at the parish and assume responsibility to teach the content to my child at home.
  I Agree Please select this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  I understand that the Circle of Grace Program is part of the parish's safe environment requirements, and I have received the parent information and materials.
  
  I DO NOT want my child to participate in instruction at the parish and assume responsibility to teach the content to my child at home.
  I Agree Please select this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  I understand that the Circle of Grace Program is part of the parish's safe environment requirements, and I have received the parent information and materials.
  
  I DO NOT want my child to participate in instruction at the parish and assume responsibility to teach the content to my child at home.
  I Agree Please select this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Level REQUIRED Please fill out this field.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  I understand that the Circle of Grace Program is part of the parish's safe environment requirements, and I have received the parent information and materials.
  
  I DO NOT want my child to participate in instruction at the parish and assume responsibility to teach the content to my child at home.
  I Agree Please select this field.
  
  Submit
  
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