FORM 7: RSE Module

TO: Brian Campion (Chairperson of the Board of Management)
Fergal Collins (Principal)

I / WE:

* Indicates required field

Parent/Guardian 1 name *

First

Last

AND

Parent/Guardian 2 name *

First

Last

THE PARENT(S)/GUARDIAN(S) OF:

Child 1 Name *

First

Last

Class Child 1 *

Child 2 Name *

First

Last

Class Child 2 *

Child 3 Name *

First

Last

Class (Child 3) *

undertake to discuss the sensitive content of the RSE (Relationships and Sexuality Education) module of the SPHE (Social, Personal and Health Education) curriculum at home with my/our child. I can access the content of the module on the school website.

I will supervise my child while their class is engaging in the RSE module; the date and time have been confirmed to me.

By submitting this form I confirm that I am in agreement with the above statement. *

YES

Your name *

Date: *

Submit