SAFE CHURCH COVENANT

CALVARY LUTHERAN CHURCH

730 S. New Street

West Chester, PA 19382

www.clcwc.org

Instructions: This Safe Church Covenant is required as part of the Safe Church Training process. Please read the Safe Church Policy, then complete the form below and submit. If you have any questions or need assistance, contact Charlene Hagerty.

Name

First Name

Last Name

Today's Date

YYYY

I have read and agree to abide by Calvary Lutheran Church's Safe Church Policy

I agree

Reason for Participation

Program Volunteer

Church Staff

Preschool Staff