Parental Statement of Conflict with Conscience (opt-out)
In accordance with N.J.S. § 18A:35-4.7, any child whose parent or guardian presents to the school principal a signed statement that any part of the instructions in health, family life education or sex education is in conflict with his conscience, or sincerely held moral or religious beliefs shall be excused from that portion of the course where such instruction is being given and no penalties as to credit or graduation shall result therefrom.

To ensure accurate record keeping, please note you will have to complete one form entry for each child.

All requests will be reviewed by building principals. Principals may seek further information from you to ensure we are properly implementing your wishes. 

Please contact your Child's building principal with any questions.


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Child's First Name *
Child's Last Name. *
Parent/Guardian's Name. *
School your child attends *
(Right now, this form is only for MBD and SRD. WTB form will be send out closer to the start of Trimester 2.)
Current grade your child is in. *
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