Human Growth and Development Student Excuse Form

Code No. 602.6E1
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 risky sexual
behavior.
1.
2.
3.
4.
5.
6.
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 2/1/16