603.5E1 - 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 or Guardian)

Signed:  __________________________________________________________  Date:  ________________
               (School Administrator)