Saugus Bathroom Form

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Please fill out the form before and after you leave the classroom to use the bathroom. Remember to go directly to the bathroom and return quickly to your classroom. Once you return to your classroom you will need to fill this form out again.

Last Name *

First Name *

Teacher's Name *

Click the appropriate option: *

I am leaving to go to the bathroom.

I am returning from the bathroom.

Required

Submit

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