Glory Gill,
RN, BSN, Coordinator

Ann Fuhs
Health Services Technician












Health Services

girlWelcome to Health Services

sickHampton City Schools employs registered nurses to provide school-based health services. All are licensed in Virginia and many have bachelors or masters degrees in the field. Most of our schools have a full-time nurse. Moton Early Childhood Center has a part-time 25 hour a week nurse. The nurse is responsible for providing care and serving as a medical resource and health consultant for students, parents and staff. The nurse reviews admission requirements, implements specialized health care plans, renders first aid, manages medications, provides in-service training, performs annual inspections, teaches health related topics, and serves as a vital link between parents and health care providers.

One Franklin Street Suite 363 Hampton, VA  23669 • Phone:  727-2363 • FAX: 727-2364

“You cannot educate a child who is not healthy, and you cannot 
keep a child healthy who is not educated.”
 -Jocelyn Elders

Clinic Staff



HCS provides a full-time registered nurse at most schools. Moton Early Childhood Center has a part-time nurse of 20 hours.  We also have health clerks providing clerical and medical assistance to the nurses at our secondary schools and our PreK through eighth grade schools.

School Nurses (PDF) | Health Clerks (PDF)


The primary focus of school nursing is to be an advocate for children’s health and safety within the educational setting. The School Nurse’s duties are many and include:

  • Identifying, assessing, planning, intervening and evaluating the health needs of students with acute illness or injury
  • Screening for health factors impacting student education (vision, hearing, etc.)
  • Making referrals based on evaluation and need of the student (vision, hearing, Child Protective Services)
  • Administering medications
  • Training of medication administration to school personnel
  • Creating individualized health care plans for students with disabilities or health conditions that might interfere with the learning process
  • Providing health services for students with special health needs
  • Serving as a health expert to the child study and eligibility team
  • Educating parents, students and staff about chronic disease, health promotion, medications, and nutrition
  • Counseling students, parents, and staff regarding health concerns
  • Acting as a liaison between school, community, and health care providers
  • Participating on the crisis team
  • Identifying health and safety concerns in the school environment
  • Advising administrators and others about health trends
  • Serving on school committees
  • Following local, state, and federal policies
  • Maintaining confidential health records

The decision for medical care rests with the parents and parents are always contacted to take their child home or to the doctor as the need arises.  Transportation for students is also a parent responsibility. We hope that your child’s school experience will be happy and rewarding.  A portion of the school curriculum is devoted to teaching healthy behaviors, which hopefully will become life-long habits and help prevent the need for costly medical care.

Physical and Immunization Requirements for School Entry

Prekindergarten Health Entrance

Kindergarten Health Entrance


All children entering Hampton City Schools for the first time must have health examinations and immunizations as described below:

  • Students entering Prekindergarten must present prior to school entry a record of a comprehensive physical examination as well as a record of immunizations as required by their age level at the time of school entry.  Any student turning four (4) after the first day of school must complete all required shots within fifteen (15) calendar days after their fourth birthday to remain in the program.
  • Students entering Kindergarten through grade five (5) MUST PRESENT PRIOR TO SCHOOL ENTRY a record of a comprehensive physical examination.  The examination must have been done within the last twelve (12) months prior to the date the student first enters public kindergarten or elementary school.  The school must have a copy of the physical examination findings.  The physical form (MCH213) can be obtained from the school office.
  • All students entering Kindergarten through grade twelve (12) MUST PRESENT PRIOR TO SCHOOL ENTRY a record that the child has received the immunizations required by the Commonwealth of Virginia. For specific requirements, contact the school nurse, Health Services office, or the Hampton City Schools web site ( Immunizations must be documented with complete dates on form MCH213, official military shot record, or Health Department or doctor’s office form with appropriate signature.

Immunization Requirements

drugsPre-Kindergarten: All state of Virginia four-year-old shots are required for a child to participate in a pre-kindergarten program.  Any student turning four after the first day of school must complete all required shots within 15 days after their 4th  birthday to remain in the program.
Kindergarten through twelfth grade:
  All students must adhere to the state of Virginia’s School & Day Care Minimum Immunization Requirements for Entry into School:

Documentary proof shall be provided of adequate age appropriate immunization with the prescribed number of doses of vaccine indicated below for attendance at a public or private elementary, middle or secondary school, child care center, nursery school, family day care home or developmental center.  Vaccines must be administered in accordance with the harmonized schedule of the Centers for Disease Control and Prevention, American Academy of Pediatrics, and American Academy of Family Physicians and must be administered within spacing and age requirements (available at

Diphtheria, Tetanus, & Pertussis (DTaP, DTP, or Tdap) - A minimum of 4 doses. A child must have at least one dose of DTaP or DTP vaccine on or after the fourth birthday. If the child has received six doses of DTaP or DTP before the fourth birthday, additional doses are contraindicated. DT (Diphtheria, Tetanus) vaccine is required for children who are medically exempt from the pertussis containing vaccine (DTaP or DTP). Adult Td is required for children 7 years of age and older who do not meet the minimum requirements for tetanus and diphtheria.  Effective July 1, 2006, a booster dose of Tdap vaccine is required for all children entering the 6th grade. This immunization is also required for new students grades 7th through 11th.

Haemophilus Influenzae Type b (Hib) Vaccine - This vaccine is required ONLY for children up to 60 months of age. A primary series consists of either 2 or 3 doses (depending on the manufacturer) followed by a booster dose at age 12-15 months. However, the child’s current age and not the number of prior doses received govern the number of doses required. Unvaccinated children between the ages of 15 and 60 months are only required to have one dose of vaccine.

Hepatitis B Vaccine - A complete series of 3 doses of hepatitis B vaccine is required for all children born on and after January I, 1994. However, the FDA has approved a 2-dose schedule ONLY for adolescents 11-15 years of age AND ONLY when the Merck Brand (RECOMBIVAX HB) Adult Formulation Hepatitis B Vaccine issued. The 2 RECOMBIVAX HB Adult doses must be separated by a minimum of 4 months. If the 3-dose hepatitis B vaccine schedule is used, there should be at least 1 month spacing between the 1st and 2nd doses and 4 months spacing between the 1st and 3rd doses.

Measles, Mumps, & Rubella (MMR) Vaccine - Measles, Mumps, & Rubella (MMR) Vaccine - A minimum of 2 measles, 2 mumps, and 1 rubella. (Most children receive 2 doses of each because the vaccine usually administered is the combination vaccine MMR). First dose must be administered at age 12 months or older. Second dose of vaccine must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2. 

Pneumococcal (PCV) Vaccine:  One to four doses, dependent on age at first dose, of properly spaced pneumococcal (PCV) vaccine for childrenup to 60 months of age. This is not required for kindergarten.

Polio Vaccine - A minimum of 4 doses of polio vaccine. One dose must be administered on or after the fourth birthday.

Varicella (Chickenpox) Vaccine - Varicella (Chickenpox) Vaccine - All susceptible children born on and after January 1, 1997, shall be required to have one dose of chickenpox vaccine administered at age 12 months or older. Effective March 3, 2010, a second dose must be administered prior to entering kindergarten but can be administered at any time after the minimum interval between dose 1 and dose 2.

Human Papillomavirus (HPV)- state legislation requiring the HPV vaccine for female students entering the sixth grade will go into effect on October 1, 2008. The first dose shall be administered before the child enters sixth grade (Code of Virginia §32.1-46, subdivision 12). After reviewing educational material approved by the Board of Health, the parent or guardian at the parent’s or guardian’s sole discretion, may elect for the child not to receive the HPV vaccine. The letter went home with all 5th grade girls in the spring.  A copy of the letter can be found here. Also available in Español

Medication at School

General Information

3If your child is on medication, it is recommended that arrangements be made with the prescribing doctor so that the medicine may be taken before or after school hours.  If this is not possible, please see the school nurse for specific School Board policies regarding medication.  It is the responsibility of the parent to provide refills as necessary throughout the school year and to pick up all unused medication at the end of the school year.  Medication not picked up will be discarded.
Please note the following:

  • Proper medication permission forms must be completed annually by the prescribing doctor.
  • Medication must be brought to the school clinic in a properly labeled, pharmacy issued bottle by a parent or guardian. If the parent or guardian is unable to bring the medication to the school or retrieve such medication by the last student day of the year, another adult may be designated by the parent/guardian via phone or in writing to transport the medication.  For this purpose, an adult is defined as someone 18 years of age or older.
  • Narcotic analgesics, such as Tylenol with Codeine or Vicodin, will not be given in school.

Medication Request Form SBO 23 pdf

Carrying Medication:

Students may not possess medication at any time during school hours or activities. Exceptions may be made for those students who require certain inhaled asthma medications, self-injected epinephrine, or other emergency medication.  Student possession of such emergency medications shall require an additional form signed by a physician, parent, student, and the school nurse.  Students who abuse this privilege may lose the ability to carry and self-administer medications.
Authorization to Carry and Self-Administer Medications (SBO 28)
Authorization to Carry and Self Administer Epinephrine (auto-injector)
Authorization  Part 4: Permission to Self-Carry and Self Administer Diabetes Care

Important Forms/Information for Students with Life-Threatening Allergies:
Parent and Student Responsibilities for Life-Threatening Alleries
Checklists for Parents of Students With Life Threatening Allergies
Life-Threatening Allergy Management Plan (LAMP) to be completed by a parent
Life-Threatening Allergy Management Plan (LAMP) to be completed by a health care provider

Other Medication Forms:
Asthma Action Plan

Medications for After School Activities/Events:
In regard to emergency medications a student may need available for after school activities/events, it is extremely important parents/guardians notify the school nurse and individual in charge of the activity/event about this need.  Examples of emergency medications include Epi-pens, Insulin, Glucagon and asthma inhalers. After regular school hours, the clinic is closed and a nurse is not available. Please note a student may carry emergency medications when the proper procedure is followed as stated above. It is the parent/guardian's responsibility to develop a plan with the nurse and the individual in charge of the afterschool activity/event so a safe environment may be maintained.

Emergency Preparedness 

• Hurricane Supply Kit
• Hurricane: A Prevention Guide to Promote Your Personal Health and Safety
• Tornado Preparedness and
• City of Hampton Emergency Management

If you or a loved one has medical and/or functional needs, NOW is the time to register them on the Regional Hampton Roads Medical Needs Registry   The sixteen participating localities are the cities of Chesapeake, Franklin, Hampton, Newport News, Norfolk, Poquoson, Portsmouth, Suffolk, Virginia Beach and Williamsburg, and the counties of Gloucester, Isle of Wight, James City, Southampton, Surry and York. IF YOU DON’T REGISTER FOR THE MEDICAL NEEDS REGISTRY, YOUR CITY EMERGENCY PLANNERS DON’T KNOW ABOUT YOU WHEN PLANNING.

Health Corner

tipsTips, Facts & Hints

Measles Information for Parents and Staff

• Handwashing:
• Cough and sneeze etiquette:
Bed Bug Information Sheet
Wellness Policy- "Celebrations and Recognitions"
• Backpack Safety (pdf)
• Whooping Cough/Pertussis Information
Eating Disorders
• Vaccine Information Statements (VIS) can be located at
•  Academy for Eating Disorders (AED)
• Families Empowered and Supporting Treatment of Eating Disorders (F.E.A.S.T.)
• National Eating Disorders Association
Toll free, confidential Helpline, 1-800-931-2237 

Parent Letters:

No, if he/she has…
Vague complaints of aches, pains or fatigue
Sniffles or a mild cough without a fever
A single episode of diarrhea or vomiting without other symptoms

Yes, if he/she…
• Has temperature of 100.4° or higher. Keep them home until fever-free for 24 hours without medicine. Never give aspirin to a child under 19 years old.
• When your own judgment tells you that your child is not well. If you suspect your child may be ill, delay sending them to school until you have had enough time to observe their behavior and feel certain that they are well enough to be in school.
• Your child has been diagnosed with a contagious illness and has not yet received medication for a minimum of 24 hours, or until your doctor tells you your child is no longer contagious.
• A red eye with white or yellow discharge or matted eyelids after sleep
• An earache
• Constant, thick nasal discharge
• A sore throat, so bad that your child will not eat or drink
• A persistent productive cough or wheezing
• More than one episode of diarrhea or vomiting
• An undiagnosed rash or spot
• Chicken Pox. Your child may return when all of the blisters are scabbed over and dry.
• Extreme fatigue
• A lot of pain for some reason (for example, a new injury)
• Head Lice. Your child may not return until treated and all nits are removed and checked by the school nurse.

During the summer months, children as well as adults enjoy many outdoor activities. These activities put people at a greater risk for dehydration and heat stress. Dehydration is the loss of both body water and electrolytes which are vital to the function of the human body. Not having enough water and electrolytes interferes with normal body processes and can lead to a serious and potentially fatal condition. The following are warning signs of dehydration and heat stress: fatigue, lethargy, rapid breathing, tenting (if the skin does not bounce back readily when lightly pinched and lifted), dark colored urine, low or no urine output, headache, and the inability to produce tears.
The best defense in the prevention of dehydration is proper hydration. Here are some tips to help you and your child to stay well-hydrated:
1. Drink a minimum of eight glasses of water each day. A person who is more active will require even more water to properly rehydrate.
2. Drink plenty of fluids throughout the day. Don’t wait until you are thirsty to drink water. By the time a person becomes thirsty, they have probably lost two or more cups of their total body water composition.
3. Don’t substitute other beverages that contain caffeine and alcohol for water. Although all beverages help to hydrate the body, beverages containing caffeine and alcohol act as diuretics and cause loss of water by increasing urination.
4. Begin and end your day with water. Even while we sleep, we lose water.
5. Drink water throughout exercising. During a workout, take frequent water breaks. Many people underestimate the amount of fluids lost with perspiration.
6. Drink cool water instead of carbonated beverages or sports drinks for keeping hydrated when it is warm outside. Cool water is absorbed more quickly than warm fluids. Save the sports drinks for the long training sessions or for after exercise is completed.
7. Don’t forget that illnesses, such as the common cold, flu, etc. cause water loss that frequently leads to dehydration. Keep a bottle of water by your bedside and sip on it throughout the day if you are home sick.

Keeping these tips in mind while you are at home, work, or play, will help you stay healthy and hydrated! For more information about hydration as well as a Hydration Calculator, visit


Virginia offers several low and no cost health insurance programs for eligible children, pregnant women and adults. To find out more about each program, log onto or called 1-855-242-8282 or contact the Hampton Department of Human Services located at 1320 LaSalle Avenue, Hampton or call 757-727-1800.

Formerly known as PICH (Peninsula Institute for Community Health)
Is community-based health center that provides medical and dental care to everybody. SEVHS accepts patients with or without health insurance. Payments for services are
based upon a sliding fee scale. You should bring a government issued picture identification card that is unexpired, your insurance card if insured, a list of any medications that you are currently taking and, of course, your copayment. To apply for the sliding fee scale, you must bring your last 2 pay stubs or other proof of household income. Plan on arriving for your appointment at least 30 minutes early to complete the patient registration process. Must call for an appointment.

Peninsula Locations:

48th Street Physicians:
4714 Marshall Avenue
Newport News, VA 23607

East End Physicians:
1033 28th Street
Newport News, VA 23607

Stoneybrook Physicians
15425-H Warwick Boulevard
News, VA 23607


Victoria Boulevard Physicians:
3130 Victoria Blvd
Hampton, VA 23661

Dental Services:
Newport News: 757-928-3810
Suffolk: 757-942-1280

Community Free Clinic of Newport News:
Provides free medical and dental care for persons (19 years and older) without insurance and who meet income guidelines (peninsula residents with household incomes less than 200% percent of the federal poverty level). Hours are 10:00 AM to 5:00 PM Monday through Thursday by appointment.
727 25th Street
Newport News,

The clinic serves the low-income and working populations of Hampton and Newport News who do not have health/dental insurance. Call the clinic to make an eligbility appointment. The clinic is open by appointment only and patients must be screened for eligibility
1320 LaSalle Ave,
Hampton, VA 23669

The Care-A-Van will see uninsured patients only. Patients are seen on the first come, first served basis. Call 757-889-CARE (2273) for the monthly van schedule & location:
Location: First Baptist Church Denbigh, 3628 Campbell Rd, Newport News
Dates: Second and fourth Wednesday of every month
Time: Registration starts at 8:30 AM until clinic is full

Location: Our Lady of Mount Carmel Catholic Church, 144 Harpersville Rd, Newport News (HRT Bus #107 to Warwick Blvd & Harpersville Road)
Dates: Second and fourth Tuesday of every month
Time: Registration starts at 8:30 AM until clinic is full

Location: Mary Immaculate Community Education & Health Resource Center,
2 Bernardine Drive, Newport News (Small building located across from Main Hospital entrance); (HRT Bus #107 to Denbigh Blvd & Ridgewood Parkway)
Dates: First and third Tuesday of every month
Time: Registration starts at 8:30 AM until clinic is full

The Family Planning Clinic is open to teen girls and women. Charges for these services are based on income. The Sexually Transmitted Infections (STI) Clinic is free and open to everyone. The Immunization Clinic is open to everyone, however, patients may be charged depending on which vaccine they need. Please call each clinic directly for clinic hours and to schedule an appointment if required.
Location: 3130 Victoria Blvd, Hampton
Immunization Clinic: 757-727-1172
Family Planning Clinic: 757-727-1172
STI (Sexually Transmitted Infection) Clinic: 757-727-1172

DR. ROXANNE DIETZLER: is a family practice doctor who provides fee for service care and will do a child’s school physical ($65.00).
732 Thimble Shoals Blvd. Suite 102
Newport News, Virginia 23606
Telephone: 757-599-3623
Hours: Monday - Friday: 7:00 AM - 3:30 PM

CATHOLIC CHARITIES OF EASTERN VIRGINIA: They offer counseling and therapy services on a sliding scale fee.
Location: 12829 Jefferson Ave., Suite 1, Newport News, VA 23608
Phone: 757-875-0060

PARTNERSHIP FOR PRESCRIPTION ASSISTANCE: helps qualifying individuals without prescription drug coverage get the medicines they need for free or nearly free.
Phone: 1-888-477-2669 Hours: M-F, 9AM-5PM (ET)
Web site:

KIDSPRIORITYONE: is a "one stop" Internet resource center where Hampton families can find local resources. This free information & referral service is also available by calling the information line at 757-244-5373 during regular business hours, Monday through Friday. After hours and on weekends call 1-800-244-5373.

School Health Advisory Board

Mission Statement:  
The School Health Advisory Board shall assist with the development of health policy in the school division and the evaluation of the status of school health, health education, the school environment, and health services.

The School Health Advisory Board for Hampton City Schools shall advise, support, and assist with the development of effective board practices and procedures, review relevant school health policies, foster family and community support and involvement in developing and implementing school health programs.  This will include health instruction, healthy school environment, school health services, school counseling, physical education, family life education, school services, and health promotion for staff members.

SHAB Contact person:
Linda Lawrence RN, BSN
Coordinator of Health Services
Hampton City Schools  
One Franklin Street
Hampton,VA  23669
757 727-2363

2012-2013 Members:
Angie Russ, Healthy Family Partnership
Pat Thompson, Curriculum Leader for Health and PE
Julia Bryant, Director of Food and Nutrition Services
Jackie Claiborne, Assistant Principal
Lora Howerton, Guidance Counselor
Eleanor Kimball, School Nurse
Linda Lawrence, Coordinator of Health Services
Nancy Lemis, Epidemiologist, Hampton Health Department
Karin Pace, Newport News/Hampton Community Service Board
Kathy Pfeiffer, School Nurse
Two Student Representatives from Hampton High
Gloria Smith, Minority Health Coalition
Dr. Arne Hasselquist, Horizons Unlimited
Jesse White, Curriculum Leader for Career and Technical Education
Cpl. Brian Snyder, Hampton Police
Bonnie Cole, parent 
Sharon Warren, Community Member, Retired Educator
Andrea Williams-Roots, Health and PE Teacher
Amy Jordan, Parent

Rev. Kevin Stefano-Wallace Memorial United Methodist Church

2013-2014 Pre-scheduled Dates: (all these meetings are held in the 5th floor conference room at the Ruppert Sargent Building, One Franklin Street. Meetings are from 4-6PM.)

February 18, 2014
May 20, 2014

2011-2012 Members:
Louise Bartlett, Healthy Family Partnership
Pat Thompson, Curriculum Leader for Health and PE
Julia Bryant, Director of Food and Nutrition Services
Jackie Claiborne, Assistant Principal
Lora Howerton, Guidance Counselor
Eleanor Kimball, School Nurse
Linda Lawrence, Coordinator of Health Services
Nancy Lemis, Epidemiologist, Hampton Health Department
Karin Pace, Newport News/Hampton Community Service Board
Kathy Pfeiffer, School Nurse
Matt Scott, Pastor
Student Representative
Gloria Smith, Minority Health Coalition
June Sullivan, Horizons Unlimited
Jesse White, Curriculum Leader for Career and Technical Education
Cpl. Brian Snyder, Hampton Police
Susan Garrett, parent 
Sharon Warren, Community Member, Retired Educator
Andrea Williams-Roots, Health and PE Teacher
Amy Jordan, Parent

2012-2013 Accomplishments: Revised and made recommendations to change the Wellness Policy. On March 2013 the Wellness Policy was changed and adapted by the School Board.  

2011-2012 Pre- Scheduled Meeting Dates (all these meetings are held in the 5th floor conference room at the Ruppert Sargent Building, One Franklin Street. Meetings are from 4-6PM).

October 11, 2011
December 13, 2011
February 21, 2012
May 15, 2012

2011-2012 Accomplishments:

1. Worked on revisions to the Wellness Policy all year.  Now working on the evaluation section of the policy in hopes to make all the recommended changes to the School Board next year.

2. Reviewed and Revised the By-laws.

3. Reviewed and made recommendations on several resources brought to the board for Family Life and CTE. (Videos for 4th and 5th grade Family Life, Special Education Family Life Curriculum for 11th and 12 grade, Smokey Sue and Life Form).

4. Reviewed draft of Bed Bug Protocol.

2010-2011 Accomplishments:

  • Evaluated the Wellness Policy for comprehensiveness and strength by using the WellStat Tool
  • Reviewed the new Middle School Family Life Curriculum that had been created in house. 
  • Reviewed and made recommendations to revise the Medication Policy.  The policy revisions were taken to the Policy Review Committee and passed by the School Board effective June 2011.

2009-2010 Accomplishments:

  • The SHAB decided to develop a survey to capture data on snack and juice habits that include vending machines usage.  SHAB members submitted various questions that were then discussed and refined.  A total of 13 questions were included in the survey.  SHAB worked with Mrs. Wellbrock, Research Assistant for HCS,, to develop and distribute the survey.  The survey was sent out to employees via e-mail from March 23, 2010 to April 19, 2010.  Data was collected and sent out to the principals on May 20, 2010.   The effectiveness of sending the survey will not be able to be evaluated until next school year but will be determined by the number of schools that make changes in the type of foods and beverages they sell at school. Most importantly, the survey was used to bring recognition to the types of beverages and foods that are being sold in the vending machines and assessed what employees would like to purchase from the machines.  Majority of the employees would like to see healthier choices.
  • SHAB in conjunction with Human Resources put together an Employee Health Fair on May 3, 2010 at the SAC Building. It was very successful.
  • Recommended changes to the Family Life Policy
  • Reviewed FACS Curriculum “Baby Think it Over Program”. SHAB recommended continuing this program in all four high schools and suggested expanding it to the middle schools.

2008-09 Accomplishments:

  • Employee Wellness Brochure was created.
  • SHAB in conjunction with Human Resources put together an Employee Health Fair on May 5, 2009.
  • Hampton City Schools Pandemic Influenza Plan was presented to the School Board.
  • Recommended the use of two different videos by “Always” to be used as part of the fourth and fifth grade Family Life Curriculum. The videos were selected after receiving SOL information from the Curriculum Leader of Health and PE. The committee specifically wanted to make sure that the menstrual cycle was being addressed. The SHAB also recommended that all Family Life instruction for this age group be facilitated during the same week division wide.

2007-2008 Accomplishments:

  • To market the Wellness Policy to staff and parents.
  • Met with Hampton City Schools Public Information Officer and developed a marketing plan.
  • Designed and published a Wellness Brochure to be mailed to all Hampton City Schools families in August of 2008 in preparation for next school year.
  • Placed articles in the employee newsletter, Hampton Herald.
  • Appeared twice on channel 46 talk show with Public Information Officer, to provide information to the public regarding the Wellness Policy.
  • Reviewed and Revised 4th and 5th grade Family Life Curriculum. Still needs more review but made some important changes for this school year (07-08).
  • Approved Power Point that is now being used to teach the Family Life Curriculum to 4th and 5th grade that also includes menstruation.
  • Recommendation was made to improve accountability of teaching Family Life at this level. Now there is a new documentation process that was instituted to track opt-outs and actual teaching of Family Life at the Elementary Level.