Human Growth And Development Student Excuse Form
Policy Title: Health Education
Code No.: 613 E1
Student Name:
Grade:
Parent/Guardian: ______________________________ Phone#:
Please list the curricular objective(s) from which you wish to have your child excused and the class or grade in which each is taught. An example is provided for you to follow.
Objective Class/Grade
Ex. To understand the consequences of Health Education/6 responsible and irresponsible sexual behavior.
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I have reviewed the Human Growth and Development program goals, objectives, and materials and wish my child to be excused from class when these objectives are taught. I understand my child will incur no penalty but may/will be required to complete an alternative assignment that relates to the class and is consistent with assignments required of all students in the class.
Signed: (Parent or Guardian)
Date:
Signed: (School Administrator)
Date:
Date of Adoption/Review/Revision:
October 2022
