Health: Human Sexuality Consent

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Which option would you like? (Be sure to consult the Human Sexuality Consent form)*

Option 1: information about adolescent development, conception, pregnancy and birth, contraceptives, sexually transmitted diseases (including HIV and AIDS)

Option 2: I want some of this information excluded

Option 3: I want to know more about the topics covered in option 1 before I decide

Option 4: exclude all content listed in option 1

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If you choose option 2, which topic(s) do you NOT want your student to participate in? Otherwise, please write N/A*

Please type your student's full name here:*

By typing your name here, you are giving permission for your student to participate in class instruction according to the option you selected above:*

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