Health and PE Curriculum Opt Out Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

For data collection purposes, please fill out this form if you intend to opt your child out of the Comprehensive Health and PE lessons mentioned below. An additional form will be given by your child's Health/PE teacher in advance of the lesson and must be filled out as well. One form must be filled out per child.

2.1.2.PGD.5: List medically accurate names for body parts, including the genitals (By the end of Grade 2). See unit plan for Personal Growth and Development for Grades K-2 for more detailed information.
2.1.2.SSH.2: Discuss the range of ways people express their gender and how gender-role stereotypes may limit behavior. (By the end of Grade 2). See unit plan for Social and Sexual Health for Grades K-2 for more detailed information.

Email *

First Name *

Last Name *

Student Last Name *

Student First Name *

Homeroom Teacher: *

Student Grade *

Kindergarten

1st

2nd

3rd

4th

5th

6th

Please select your desired Health & PE implementation Option:

I choose to opt my child out of new disciplinary concepts: Pregnancy & Parenting,

I choose to opt my child out of the unit covering: Social & Sexual Health

I choose to opt my child out of the unit covering: Personal Growth and Development

I choose to collect resources from the district and present the information to my child myself.

I choose to attend an educational evening session with my child where the information will be presented

Comments

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Harrison Twp School District. Report Abuse

Forms