By submitting this form I certify that I am the account-holder and the information that I submit here pertains to me and is true to the best of my knowledge. I am aware that any false misrepresentation on my part could result in the loss of my privilege to work with children and young people in the Diocese of Houma-Thibodaux.
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			I attest that I am 18 years or older and understand that this training site is only for use by adults over 18 years of age.