Active Parental Permission Form

Parental Permission Form - Healthy Youth Act of 2009

The General Assembly of North Carolina has recently ratified House Bill 88 also know as the “Healthy Youth Act of 2009”. This amended policy includes the following changes to the reproductive health and safety education curriculum for grades 6-9.  How sexually transmitted diseases are and are not transmitted, the effectiveness and safety of all federal Food and Drug Administration (FDA)-approved methods of reducing the risk of contracting sexually transmitted diseases, and information on local resources for testing and medical care for sexually transmitted diseases. Instruction shall include the rates of infection among pre-teen and teens of each known sexually transmitted disease and the effects of contracting each sexually transmitted disease. In particular, the instruction shall include information about the effects of contracting the Human Papilloma Virus, including sterility and cervical cancer.  Teaches about the effectiveness and safety of all FDA-approved contraceptive methods in preventing pregnancy.  Teaches awareness of sexual assault, sexual abuse, and risk reduction. The instruction and materials shall: 1. Focus on healthy relationships. 2. Teach students what constitutes sexual assault and sexual abuse, the causes of those behaviors, and risk reduction. 3. Inform students about resources and reporting procedures if they experience sexual assault or sexual abuse. 4. Examine common misconceptions and stereotypes about sexual assault and sexual abuse.  Materials used in this instruction shall be age appropriate for use with students. Information conveyed during the instruction shall be objective and based upon scientific research that is peer reviewed and accepted by professionals and credentialed experts in the field of sexual health education.  Each local board of education shall adopt a policy and provide a mechanism to allow a parent or a guardian to withdraw his or her child from instruction required under this subdivision."

Please read and complete the information requested below. If you do not want your child to take part in this instruction, check the appropriate box and return the form to the school as soon as possible. If you have questions about the curriculum that your child’s health teacher or principal cannot answer, contact Linda Rogers, Healthful Living Coordinator at (704) 832-2550 or [email protected] and she will answer any questions you might have. Thank you.

Child’s name:______Grade:______

I have read this form and know what the Healthy Youth Act of 2009 is about.

Check one:

[ ] My child may take part in this instruction

[ ] My child may not take part in this instruction.

Parent’s signature:______Date:______

Phone number:______TURN IN TO PE/HEALTH TEACHER