REQUEST TO EXCUSE STUDENT FROM HIV PREVENTION EDUCATIONI have attended the school’s/district’s presentation of the HIV prevention education program for my child’s (or legal ward’s) grade level.
I object to the participation of my child (or legal ward) in the HIV prevention education program and request that he/she be excused from participation in the ______ grade presentation.
I understand that that the HIV epidemic presents a serious threat to the general population, particularly to youth, and I have been offered resources to present information to my child/legal ward at home.
Child’s School
Name of Child/Legal Ward Signature of...
Allowed
Microsoft Office Word (.doc, .dot) - application/msword
Everett Public Schools Documents 
