Date: _______

Date: _______

Today, ____________ needed to be

reminded about:

Today, ____________ needed to be

reminded about:

__ paying attention/off task

__ paying attention/off task

__being disruptive/blurting out

__being disruptive/blurting out

__out of seat

__out of seat

__playing with/throwing objects

__playing with/throwing objects

__other:

__other:

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

___________________
Parent Signature

___________________
Parent Signature

Date: _______

Date: _______

Today, ____________ needed to be

reminded about:

Today, ____________ needed to be

reminded about:

__ paying attention/off task

__ paying attention/off task

__being disruptive/blurting out

__being disruptive/blurting out

__out of seat

__out of seat

__playing with/throwing objects

__playing with/throwing objects

__other:

__other:

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

___________________
Parent Signature

___________________
Parent Signature

Date: _______

Date: _______

Today, ____________ needed to be

reminded about:

Today, ____________ needed to be

reminded about:

__ paying attention/off task

__ paying attention/off task

__being disruptive/blurting out

__being disruptive/blurting out

__out of seat

__out of seat

__playing with/throwing objects

__playing with/throwing objects

__other:

__other:

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

___________________
Parent Signature

___________________
Parent Signature

Date: _______

Date: _______

Today, ____________ needed to be

reminded about:

Today, ____________ needed to be

reminded about:

__ paying attention/off task

__ paying attention/off task

__being disruptive/blurting out

__being disruptive/blurting out

__out of seat

__out of seat

__playing with/throwing objects

__playing with/throwing objects

__other:

__other:

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

Any student needing more than 3

reminders regarding his/her behavior
during the school day will take home a
note for a parent signature. Thank you
for your support in helping your child
be successful.

___________________
Parent Signature

___________________
Parent Signature