603.05 E1 - Health Education - Human Growth and Development Student Excuse Form

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)

 

Approved: April 27, 2026

Reviewed: April 27, 2026

Revised: April 27, 2026