Conflict of Conscience Opt-Out Form (School Year: 2023-2024)
Section: 18A:35-4.7: Parent's statement of conflict with conscience: Any child whose parent or guardian presents to the school principal a signed statement that any part of the instructions in health, family life education or sex education is in conflict with his conscience, or sincerely held moral or religious beliefs shall be excused from that portion of the course where such instruction is being given and no penalties as to credit or graduation shall result there from.
Sign in to Google to save your progress. Learn more
Email *
Student Last Name *
Student First Name *
Grade *
Homeroom Teacher *
Please identify the student learning objectives you are choosing to opt your child out of. (You can just list the numbers from the letter for your child's grade level.) *
By typing your name below, you understand that your child will be removed from the classroom during the specific requested lesson and placed into another classroom to work on an alternative health assignment.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oradell Public School. Report Abuse
Google Forms