MS-NVLA Full Time Sex Education Form

Parent/Guardian Permission Form

Sex Education
I am a Full Time NVLA Middle School Student*

Yes
The school counselor must submit a course request to enroll a student in an NVLA Health or Health Science course.

This form is for permission to take the course requested by the counselor.

Both a course request from your school counselor AND this form must be received before a student is enrolled in the course.
In compliance with the Nevada Revised Statutes 389.065, schools are required to obtain permission from the parent/guardian of students who attend a class where instruction may include topics about the human reproductive system and related communicable diseases. Your child's Health class will include instruction/ discussion about the human reproductive system, communicable diseases, including Acquired Immunodeficiency Syndrome, and/or sexual responsibility.

If you approve of or do not approve of your child participating in these lessons, please indicate your choice by selecting the appropriate box and by signing this permission form below.

It is also required that the school provide parents the opportunity to inspect instructional materials related to instruction about the human reproductive system, related communicable diseases, and sexual responsibility. If you desire to review these materials or if you have any questions, please call the principal's office.

Keep a a copy of your submission for your reference.
Please check:*

Yes, I want my child to have these lessons.No, I do not want my child to have these lessons. I understand that appropriate educational alternate instruction will be provided.
Student's name:*
Student ID#*
Parent/Guardian's signature*

Clear
Parent/Guardian Email*
Please doublecheck that the email is entered correctly.
Date*

MonthDayYear
Date
Submitting electronically, the completed form is automatically sent to NVLA.
Should be Empty:

Parent/Guardian Permission Form