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STUDENT’S GATE PASS STUDENT’S GATE PASS

Name:____________________________________ Name:____________________________________
Grade Level & Section:_______________________ Grade Level & Section:_______________________
Date______________________________________ Date______________________________________
Time out:__________________ Time___________ Time out:__________________ Time___________
Reason:__________________________________ Reason:__________________________________
_________________________________________ _________________________________________
Name of Teacher:__________________________ Name of Teacher:__________________________
Signature of Teacher:_______________________ Signature of Teacher:_______________________

STUDENT’S GATE PASS STUDENT’S GATE PASS


Name:____________________________________ Name:____________________________________
Grade Level & Section:_______________________ Grade Level & Section:_______________________
Date______________________________________ Date______________________________________
Time out:__________________ Time___________ Time out:__________________ Time___________
Reason:__________________________________ Reason:__________________________________
_________________________________________ _________________________________________
Name of Teacher:__________________________ Name of Teacher:__________________________
Signature of Teacher:_______________________ Signature of Teacher:_______________________

STUDENT’S GATE PASS STUDENT’S GATE PASS


Name:____________________________________ Name:____________________________________
Grade Level & Section:_______________________ Grade Level & Section:_______________________
Date______________________________________ Date______________________________________
Time out:__________________ Time___________ Time out:__________________ Time___________
Reason:__________________________________ Reason:__________________________________
_________________________________________ _________________________________________
Name of Teacher:__________________________ Name of Teacher:__________________________
Signature of Teacher:_______________________ Signature of Teacher:_______________________

STUDENT’S GATE PASS STUDENT’S GATE PASS


Name:____________________________________ Name:____________________________________
Grade Level & Section:_______________________ Grade Level & Section:_______________________
Date______________________________________ Date______________________________________
Time out:__________________ Time___________ Time out:__________________ Time___________
Reason:__________________________________ Reason:__________________________________
_________________________________________ _________________________________________
Name of Teacher:__________________________ Name of Teacher:__________________________
Signature of Teacher:_______________________ Signature of Teacher:_______________________

STUDENT’S GATE PASS STUDENT’S GATE PASS


Name:____________________________________ Name:____________________________________
Grade Level & Section:_______________________ Grade Level & Section:_______________________
Date______________________________________ Date______________________________________
Time out:__________________ Time___________ Time out:__________________ Time___________
Reason:__________________________________ Reason:__________________________________
_________________________________________ _________________________________________
Name of Teacher:__________________________ Name of Teacher:__________________________
Signature of Teacher:_______________________ Signature of Teacher:_______________________

STUDENT’S GATE PASS STUDENT’S GATE PASS


Name:____________________________________ Name:____________________________________
Grade Level & Section:_______________________ Grade Level & Section:_______________________
Date______________________________________ Date______________________________________
Time out:__________________ Time___________ Time out:__________________ Time___________
Reason:__________________________________ Reason:__________________________________
_________________________________________ _________________________________________
Name of Teacher:__________________________ Name of Teacher:__________________________
Signature of Teacher:_______________________ Signature of Teacher:________________________

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