Family Health Education Form

Grade 2ND to 12th

Family Life/Human Sexuality Education Program Florida Statute 1003.42(2)(n) requires instruction in Human Sexuality Education. The State of Florida has authorized teaching Health Education, of which Family Life/Human Sexuality is a component, to meet this legislative mandate. The Family Life/Human Sexuality Unit has been carefully written by a team of teachers and was reviewed by parents, teachers, students, administrators, educational advisory groups and members of the community.

Additionally, beginning in 2nd grade through 4th grade, there are one or two lessons that deal with HIV/AIDS. They emphasize how the virus is not transmitted and the need to show compassion for people who are sick.

In 5th – 12th grade, there is a lesson that does discuss how the virus is transmitted. These lessons are not mandated to be taught. We respect your parental right and your role in presenting information in this sensitive and delicate area.

According to Florida Statue 1003.42(2)(n): “Any child whose parent presents to the school principal a signed statement that the teaching of disease, its symptoms, development, and treatment, and the viewing of pictures or motion pictures that teach about disease, conflict with the religious teachings of the child’s religious affiliation, is exempt from such instruction; and a child so exempted may not be penalized by reason of that exemption.

A copy of your signed statement will be filed in the student’s permanent folder.

Your child will then be scheduled into an alternative assignment during the Family Life/Human Sexuality unit and/or HIV/AIDS lessons. Please note that this letter must be returned and signed by each child’s parent. We appreciate your interest and cooperation in the implementation of our health program.

______ I WANT my child to participate in the Family Life/Human Sexuality lessons.

             (5th through 12th grade only)

______ I WANT my child to participate in the HIV/AIDS lessons. (2 nd through 5th grade only)

______ I DO NOT want my child to participate in the Family Life/Human Sexuality lessons.

             (5th through 12th grade only)

______ I DO NOT want my child to participate in the HIV/AIDS lessons. (2 nd through 5th grade only)

Student Name: _________________________________Grade: _______________________________

Teacher _______________________________________Parent Signature_______________________

Date Please sign and return this slip to your child’s teacher by ________________________________

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