Parent Guardian Consent Form For Human Sexuality Instruction printable pdf download

Utah State Office of Education

Parent/Guardian Consent Form

Human Sexuality Instruction

Name of Student

_______________________________________________

Parents must receive this form no later than two weeks prior to the beginning of instruction.

Course:________________________

Teacher(s):______________________________________

School:____________________________ Telephone Number: _________________________________

Dear Parent/Guardian:

As part of your child’s education, he/she has enrolled in a course that includes instruction on

topics related to human sexuality. You are receiving this consent form because instruction and/or

discussion of human sexuality topics are controlled by state law and/or Utah State Board of

Education rule. Please read the form carefully, select one option, sign, and return to the teacher

identified above. Your student will not be allowed to participate in class activities without this

completed and signed form on file. Thank you.

INFORMATION

All instruction related to human sexuality and/or sexual activity will take place within the context

of Utah State Law (53A-13-101) and Utah State Board of Education rule (R277-474) as follows:

$ The public schools will teach sexual abstinence before marriage and fidelity after marriage.

$ There will be prior parental consent before teaching any aspect of contraception and/or

condoms.

$ Students will learn about communicable diseases, including those transmitted sexually, and

HIV/AIDS.

Program materials and guest speakers supporting instruction on these topics have been reviewed

and approved by the local district review committee.

The following are NOT approved by the State Board of Education for instruction and may not be

taught:

$ The intricacies of intercourse, sexual stimulation or erotic behavior;

$ The advocacy of homosexuality;

$ The advocacy or encouragement of the use of contraceptive methods or devices;

$ The advocacy of sexual activity outside of marriage.

In accordance with Utah State Board of Education Rule R277-474-6-D, teachers may respond to

spontaneous student questions for the purposes of providing accurate data or correcting

inaccurate or misleading information or comments made by students in class regarding human

sexuality.

Please choose one option for instruction listed on the reverse side of this page.

DISCLOSURE:

Parent Guardian Consent Form For Human Sexuality Instruction