603.04E1 - 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/shall 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)