Orange County Health Department

Office of Minority Health

Sistas, Informing, Healing, Living, Empowering
(SiHLE)

Parent Consent and Program Contract

Dear Parent/program participant:

My name is Karen Wint and I work for the Orange County Health Department/Office of Minority
Health. We will be implementing the SiHLE curriculum and would like to have your daughter
participate. SiHLE is a health based curriculum that educates about HIV/AIDS but beyond that,
teaches the young ladies some positive choices that they can make to become healthier and more
successful in life. It is also designed to instill within them pride which will help them as they
sometimes struggle to define positive identities. The series will encompass 4 sessions and will
culminate in a graduation. The program will include the following topics and will take place on the
following dates and times:

September 14th from 6:00PM – 9PM Session 1: My Sistas…My Girls

September 15th from 9AM – 3 PM Session 2: It’s my Body

September 21st from 6:00PM – 9PM Session 3: Communication & Condom Skills

September 22nd from 9AM – 3 PM Session 4: Relationships and Power

All sessions will take place at Greater Faith AME Zion Church, 1075 Ivey Lane South (directly
across the street from Carver M.S. on the corner of Raleigh and Ivey Lane), Orlando, FL 32811.

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Attendance is mandatory at each session to attain successful completion of the program.

By signing this contract, I ___________________________________________ agree to attend all

four sessions of the SiHLE program.

If I violate this contract and fail to attend all sessions I understand that I will not be able to
participate in the certificate graduation.

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Parent Signature Date Youth Signature Date