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Please complete this form for any room or space requests at Rivera United Methodist Church.

Date
Month
Day
Year
Did you receive a copy of the CYPP policy?
Yes
No
How often are you required to attend CYPP training?
How many years older must you be than the group you are supervising?
What methods should you use to report suspected child abuse?
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1-727-527-6466

175 62nd Ave N

St. Petersburg, FL 33702

www.rivieraumc.org

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