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 responsible               Health/Education/6
                irresponsible sexual behavior.

1.

2.

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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)