Indiana Public Law 154 (2018)
Human Sexuality Instruction Parental Non-Consent Form

Constitution and the Constitution and laws of the State of Indiana, to direct the upbringing
and education of my minor child, as follows:

1.   I  DO  NOT  CONSENT  to  my  child’s  participation  in  any  instruction  or   discussion  on
    human sexuality which is derived in whole or in part from; contains information from; or
    references to the following sources:

                A.  National Sexuality Education Standards
                B.  Future of Sex Education (FoSE) Initiative
                C.  Sex, Etc.
                D.  Advocates for Youth
                E.  Answer
                F.  SIECUS (Sexuality Information and Education Council of the U.S.)
                G.  Planned Parenthood
                H.  The Kinsey Institute
                I.  Indiana Youth Group
                J.  GLSEN (Gay Lesbian Straight Education Network)
                K.  Gay Straight Alliance

2.   I   DO   NOT   CONSENT   to   my   child   being   given   instruction   or   information   on,   or   being
    subjected to discussion of any aspect of human sexuality, including the following:

   A.   Abortion;

   B.   Birth Control/Contraceptives;

   C.   Sexual activity of any kind whatsoever, including, but not limited to, vaginal, oral or
        anal sex;

   D.  Sexual orientation, including, but not limited to any variant of homosexuality, including
        but not limited to, lesbian, gay, bisexual, queer, or questioning identities;

   E.   Transgenderism   or   gender   identity,   including,   but   not   limited   to,  gender   as   social
        construct;   gender   binary;   gender   spectrum;   gender   reassignment   surgery,   gender
        dysphoria, false gender pronouns, gender expression, or cross-sex hormones;

   F.   Any referral of my child to a counselor, medical professional, social worker, within or
        outside   the   school  for   purposes   of   discussing   sexuality,   or   any   of   the  topics   listed
        herein;

   G.  Any     written   material   of;  reference    to;  or  referral  to   an  outside    agency,    group,
        individual or organization relating to sexuality (including, but not limited to those listed
        in Section 1). 

   H.  Any   reference   to   or   participation   in   a   personal   analysis,   evaluation   or   survey   that
        reveals  or  attempts  to  affect  my  child’s  attitudes,  habits,  traits,  opinions,  beliefs  or  
       feelings    concerning:     political  affiliations;  religious  beliefs  or  practices;   mental    or
        psychological      conditions;    sexual    behavior    or  attitudes;   sexual    activity;  sexual
       orientation;    gender    identity;  or  illegal,  antisocial,  self-incriminating    or  demeaning
        behavior;

   I.  Any advertisement of or participation in any group, organization, club, entity or activity
       that   discusses   or   addresses   sexual   activity,   sexual   orientation   or   gender   identity,
        under the guise of “bullying” or other rationale;  

   J.  Any   additional   instruction   and   discussion,   including   but   not   limited   to:   classroom
       teachers,      school   staff,  third-party    providers,    YouTube      or  other   videos,    films,
        livestreaming,     other    audio-visual    methods,     textbooks,     workbooks,      or   handout
        material, including any entity listed under Section 1 or any topic listed under Section 2.

        I am requesting alternative academic instruction for my child during the same period
that any instruction on any aspect of human sexuality is provided.

For legal assistance at no charge, please contact Liberty Counsel (www.LC.org), or to
report a violation of Indiana Public Law 154 (2018), please contact:

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This QR Code and link on the left will provide a parent friendly, non copyrighted FLYER for using the Parental Non-Consent Form with Instructions for preventing Human Sexuality Instruction to your children in public schools.
 
The following link is the original video introducing the Form as designed for Indiana: Protecting Children from Inappropriate Sex Education! - 3:49m. YouTube By Advance America, Published on Jun 27, 2018 | with Indiana  Public Law 154 (2018) Human Sexuality Instruction Parental Non-Consent Form.  The Form restricts Parental Consent to 11 SPECIFIC inappropriate sex ed curricula.  See Indiana's original as pdf:  Parental-Non-Consent-Form.pdf