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613 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 in the class or grade in which each is taught.

 

 

 

 

 

 

 

 

 

 

 

 

Proposed Alternative Activity:

  

 

 

 

 

 

 

 

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 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:     9/23/2019                         Reviewed:                     Revised: