Right to Withdraw from Relationship and Sex Education and Religious Education

Full Name of the pupil

Birthday

Day

Month

Year

Pupil Year Group

Year 9

Year 10

Year 11

Withdrawal from (please tick):

Relationships and Sex Education

Religious Education

Reason for withdrawing from sex education within relationships and sex education

Any other information you would like the school to consider

Name of parent/guardian

Your Relationship to the Pupil

Mother

Father

Carer

Other

Parent/Guardian Email Address

Declaration

I hereby request my son/daughter to be withdrawn from the above curriculum areas. I understand that by withdrawing from these aspects of the curriculum, the school has a duty to supervise them, though not to provide additional teaching or to incur extra cost.

Signature of parent/guardian

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Date

Right to Withdraw from Relationship and Sex Education and Religious Education

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