DATE

 

PARENTS’ ADDRESS

PARENTS’ ADDRESS

PARENTS’ ADDRESS

 

TEACHER’S/PRINCIPAL’S NAME

Arlington Public Schools

 

Dear NAME,

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My child, CHILD’S NAME, is to be opted out of all Family Life Education curriculum for school year 20XX-XX Further, CHILD’S NAME is not to be included in any lessons, activities, or discussions in any class, club, or activity led by teachers, staff, administrators, or guest speakers around the following topics:

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Human Sexuality

Transgender Issues

Homosexuality and/or Sexual Orientation

Family Composition

Gender Identity

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If any part of a unit of curriculum contains references to any of the above topics, please provide CHILD’S NAME with an alternative curriculum package or relevant material for that subject which does not reference the above topics. The only exception to this opt-out will be curriculum regarding the biological processes of reproduction for humans and/or animals in a science class or unit.

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Our family does not give consent for NAME OF SCHOOL to provide any instruction to CHILD’S NAME on any of the above topics. These topics will be treated at home, by CHILD’S NAME parents/guardians.

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If you have any questions about these instructions, please do not hesitate to inquire.

 

SIGNATURE

NAME, CONTACT INFO