CHARGED Social Success Consent Form

Dear Parent or Caregiver, 

St. Peter is offering a social skills group for 3rd- 5th graders to help students develop behaviors that encourage their social interactions with others. This is a 9-session program which will begin Tuesday, September 12th. We have a limited number of spots, so if you are interested, please let us know as soon as possible to guarantee your child’s enrollment in this group. Groups will meet on Tuesdays from 12:00-12:30. Some specific topics that will be covered in the lower grades group will include lessons in self-growth, discipline,purpose, faith, patience, love, and perseverance.  CHARGED helps students to slow down their reactions to situations and struggles, identify their own emotions, develop an understanding of others, and live a confident life of godly intention and purpose.

If you would like your child to participate in this group, please complete the bottom of this page. Please also include additional topics you wish to be addressed.  After I have received your consent, you will receive an email confirming your child's enrollment in the group.   For more information, please email lschmidt@fulllifeinchrist.org or call (847)259-4114 ext. 196. 

Many blessings to you, 

Lexi Schmidt

Student's Name

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* 1. Student's Name

Student's Grade Level

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* 2. Student's Grade Level

Topics you would specifically like to be covered

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* 3. Topics you would specifically like to be covered

Parent Name and Signature

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* 4. Parent Name and Signature

Parent Email

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* 5. Parent Email

T