6th Grade GTPS - Health Education "Opt-Out" Form

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In keeping with state statute and board policy, "Any child whose parent or guardian presents to the school a signed statement that any part of the instruction in health, family life education, or sex education is in conflict with his or her conscience or sincerely held moral or religious beliefs shall be excused from that portion of the course." Please fill out this form if you wish to opt your student out of a part of the health instruction.

Email *

School *

Glen Landing Middle School

CW Lewis Middle School

Ann A Mullen Middle School

Student's Last Name *

Student's First Name *

Student Id/Lunch Code (five digit) - if available

Parent/Guardian's Name *

Please check the appropriate box for content you find in conflict with your conscience or sincerely held moral or religious beliefs. *

Introduction to Puberty (Day 6)

Changes in Boys and Girls (Day 7)

Male/Female Reproductive System (Day 8)

Puberty Review Lesson (Day 9)

Other:

Required

Please share any other information you may feel necessary related to your request.

Send me a copy of my responses.

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