PCHS Hall Pass Notification 2019-20

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PCHS Hall Pass Notification 2019-20

Students complete this form after receiving teacher permission and before leaving the classroom.

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Period *

Choose

0

1

2

3

4

5

6

7

Going From: *

Choose

Bukenberger

Killen

McGuire

Payne

Ramsey

Scott-Simmons

Reporting to: *

Choose

Bathroom

Balogh

John Bukenberger

Kasper White

Killen

McGuire

Office

Payne

Ramsey

Scott-Simmons

Reason *

I need a time out.

I need Learning Center Support.

Counseling: Emotional

Counseling: Academic

Not Feeling Well

Phone Call

Bathroom

Checking out through the office to leave for the day.

Other:

How is Paloma Creek for you today? *

(optional)

Pretty Bad

1

2

3

4

5

Excellent

Submit

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