STUDENT EXEMPTION (1)
To the School Board Members, Superintendent, Principal, teachers and agents of the  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ School District.
This letter will serve as legal notice pursuant to 20 U.S.C. §1232h and the California Education Code, including, but not limited to, Sections 51101, 51201.5, 51240, 51500, 51501, 51513, 51550, 51553, 51554, 51555 and 51820, that you are not to teach, instruct, advise, counsel, discuss, test, question, examine, survey or in any way provide information, data or images to my child(ren) concerning:
•sex education, family life education, health, human sexuality,
•pupil’s personal beliefs or practices in sex, family life, morality, and religion,
•pupil’s parents’ or guardians’ beliefs and practices in sex, family life, morality, and religion,
•sexually transmitted diseases, AIDS, HIV, venereal diseases,
•gender identity, sexual orientation, sexual preference,
•homosexuality, lesbianism, bisexuality, transgender or transsexual issues,
•or any alternatives to monogamous heterosexual marriage,
without my express written permission on an incident-by-incident basis.

This restriction shall extend to:

•teachers and teacher aides,
•administrators, school counselors,
•school health personnel, special guests or presenters,
•California Department of Education or other state departments or their agents,
•or anyone speaking or acting on behalf of the school or school district.
This shall pertain to whether said child(ren) are on school grounds or off-campus, and shall include, but not be limited to:
•classroom instruction, presentations, school approved displays on campus,
•reading assignments, class discussions, homework assignments,
•books, magazines, newspapers, or other printed or written material,
•photographs, movies, films, slides, filmstrips, DVDs, CDs, video tapes, audio tapes,
•CD-ROMs, computer and Internet programs and activities,
•field trips, assemblies, theatrical or musical performances,
•individual or group assigned activities, extracurricular activities,
•or any other context in which the school or its agents interact with my child(ren).
I respectfully request that I be notified in writing at least 15 days in advance of all future instruction, events or activities, etc. from which my child(ren) may need to be exempted, so that I may work with you in making alternate accommodations for his/her continuing education. This request is made as a direct result of my sincerely held religious beliefs and personal moral convictions, as well as the individual, emotional and developmental needs of my child(ren), and the law cited above. I thank you in advance for respecting my rights as a parent in dealing with this issue. This notice has been prepared with the advice of legal counsel and will supersede any prior authorization you may have on file.

My child(ren) and/or ward(s) to whom this notice applies is (are): (name and grade)
__________________________      __________________________
__________________________      __________________________

Thank you for respecting my family’s personal moral convictions regarding these matters. Please do not hesitate to contact me if you have any questions or comments.

Signed__________________________________________________   Date_____________________

Address___________________________________________________________________________
Daytime/Evening Phone___________________________________________________________________________

NOTICE TO PARENTS/GUARDIANS: Please retain a signed, dated copy of this letter for your personal records.
© CALIFORNIA STUDENT EXEMPTION PROJECT  Form SE 01-15-2001
See footnote #-5 for updated forms and rights.


(1) All emboldening for emphasis by http://Hisways.org/howto/Letters/
(2)  See /Liberty/ link for legal aspects of this page.
(3)  Hatch Amendment letter  see our annotated Hatch.htm
(4) Consent.htm annotated link Consent.htm
(5) Campaign for California Families. WAS  h.ttp://www.savecalifornia.com/getactive/exemption.php http://www.abidingtruth.com/_docs/resources/7527013.pdf, or see our annotated CA-Exemp.htm