OPT-OUT FORM: Human Growth & Development

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OPT-OUT FORM: Human Growth & Development | January 10, 2022

On January 10th, Middle School boys and girls will attend grade-level Human Growth and Development presentations at CDS provided by Health Educators from St. Joseph’s Children’s Advocacy Center. The girls and boys will be in separate locations and will receive information relevant to their age and gender.

Please complete this OPT-OUT form by Friday, January 7, 2022 if you do not wish for your child to attend this program. You may contact Dan Holtsclaw, Assistant Head of Middle School at dholtsclaw@cdspatriots.org or 813-920-2288 x442 with any questions or concerns. (A separate form is required for each MS student.)

Email *

Please click to excuse your child from participating in this program. *

I DO NOT GIVE PERMISSION for my child, to attend the January 10 Human Growth and Development presentation.

Student Name *

Enter child's first and last name

Grade *

6th Grade

7th Grade

8th Grade

Parent Name *

By typing full name, parents excuse their child from participating in the Human Growth & Development program.

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