Safeguarding God’s People – Preventing Sexual Harassment and Sexual Exploitation
Clergy Registration Form Please check one: New Clergy
Existing Clergy Re-Certification
Recommended Supplies
Which training would you like to attend? • Date: _____________________
• •
Location: ____________________________________
Note taking materials; tablets & iPads are encouraged but not mandatory List of questions or concerns; regarding safeguarding at your parish or school Beverages & light snacks provided
Name ____________________________________________________________________________ Preferred mailing address____________________________________________________________ City ___________________________________ State _________________ Zip ________________ Preferred phone number __________________________________ (Check: work __ cell __) Email ______________________________________________ Church/School/Institution you serve ________________________________________________ Address __________________________________________City ______________ Zip______
The Episcopal Diocese of Texas is committed to ensuring that its churches, schools, and institutions live out our Baptismal promises by providing an environment free of abuse, exploitation, and harassment. Through the ministries of Safe Church, The Diocese of Texas provides resources to ensure that every person’s dignity is respected and protected.
You may contact Rev. Carol Petty if you have any questions at
[email protected] or call 512.478-0580
Please fax this registration to 866-241-7050 or Email it to
[email protected]
