FAMILY LIFE EDUCATION Sample Clauses

FAMILY LIFE EDUCATION. In accordance with New Jersey Administrative Code 6:29-4.2, family life education means instruction to develop an understanding of the physical, mental, emotional, social, economic and psychological aspects of interpersonal relationships; the physiological, psychological and cultural foundations of human development, sexuality and reproduction, at various stages of growth; and to provide the opportunity for students to acquire knowledge which will support the development of responsible personal behavior, strengthen their own family life now and aid in establishing strong family life for themselves in the future thereby contributing to the enrichment of the community. Family life education is not taught as a separate subject but is integrated into the health, science and social studies programs in grades K-8. The complete curriculum and materials used for the various curriculum areas are available for review in each school office. If a parent/guardian has any concerns regarding our curriculum and its content you as parent/guardian have the right to remove your child from that particular portion of the curriculum that is being taught. The following is a brief outline of the curriculum:

FAMILY LIFE EDUCATION. General curriculum Opt-out all Opt-out specific sections Date Parent or Legal Guardian DOMINION ACADEMY PERMISSION FOR EXCHANGE OF INFORMATION I, the undersigned parent/legal guardian for: STUDENT’S NAME: Birthdate: authorize and request that: Facility Name Facility Address Release Records to: Dominion Academy/Dominion Youth Services, Inc Verbally communicate with : Dominion Academy/Dominion Youth Services, Inc Purpose of disclosing: Educational and Behavioral Planning Purposes Information Requested:  Withdrawal Summary  Psychological Testing/Evaluation  Physical Examination  Immunization Record  Social History  Grades/Transcripts  Individual Education Plan (IEP  Behavioral Records  Medical History/Documentation  Other Educational Records: I understand that no limitations are placed on dates, history of illness, or diagnostic and therapeutic information, including any treatment for alcohol and drug abuse. I understand what information has been requested and have been explained the benefits/disadvantages of releasing this information. I further understand that the provision of services is not contingent on the release of this information and I voluntarily consent to the release of this information. This authorization is protected by Federal confidentiality rules (42CFRII). This authorization will expire at withdrawal of the student from Dominion Academy. / Parent/Guardian Signature Date DOMINION ACADEMY PERMISSION TO TEST Perm to Test Page 1 of 1 STUDENT’S NAME: Birth date: I hereby authorize the staff at DOMINION ACADEMY to conduct educational testing or evaluations of the above-named child. I understand that all evaluations will be conducted by qualified personnel. I further understand that I will be informed of the results of the evaluations and that any information resulting from the evaluations will be maintained in accordance with the Rules and Regulations of the Virginia Board of Education governing the management of student records. Date Signature of Parent or Guardian DOMINION ACADEMY Policies, Regulations, and Notices Use of Therapeutic Crisis Intervention and Physical Intervention STUDENTS Welfare Use of Therapeutic Options of Virginia (TOVA)