603.05E1 - Human Growth and Development Student Excuse Form

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.

1.

2.

3.

4.

5.

6.

7.

8.

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:  _________________________________________________  Date:  ____________________
                  (Parent/Guardian)

Signed:  _________________________________________________  Date:  ____________________
                  (School Administrator)