Request to be Excused From Human Sexuality Instruction
Date: ________________________ School year: ____________________________
Student’s Name (print): _________________________________________________________
Parents name (print): ___________________________________________________________
Principal’s name: ______________________________________________________________
Pursuant to New Jersey Statute 18A:35-4.7, as the parent and legal guardian of the above-named student, I hereby request that said student be excused from any classroom instruction that involves:
A. Sexual activity of any kind whatsoever;
B. Sexual orientation;
C. Transgenderism or gender identity.
As a parent I intend to teach my children about these sensitive matters in a manner that is consistent with our strongly held religious beliefs.
I request that my child be given alternative instruction during the time that these materials and subjects are being presented.
Parents signature: ___________________________________________________Date: ______________