603.5E1 - Human Growth and Development 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)