Restroom

=Restroom (Need to Leave the Classroom) Pass Policy=


 * Each student is given 6 passes. That’s 2 passes per 6 weeks
 * Don’t lose your passes. I don’t keep up with them. If you lose them, you’ve lost them.
 * Once you have used your 2 passes, then it’s a 15-minute detention for each additional pass.
 * If **both** passes are not used by the end of the 6 weeks, you can turn them in for 5 points added to a **Test** grade.
 * The **20/20** rule will be followed.

Student Name_______________
 * ** 1st 6 Weeks **

Destination_______________

Date:_____/_____/_____

Time out:_____ Time in:______

Teacher Sign______________ Room: 110 || ** 2nd 6 Weeks ** Student Name_______________

Destination_______________

Date:_____/_____/_____

Time out:_____ Time in:______

Teacher Sign______________ Room: 110 || ** 3rd 6 Weeks ** Student Name_______________

Destination_______________

Date:_____/_____/_____

Time out:_____ Time in:______

Teacher Sign______________ Room: 110 || Student Name_______________
 * ** 1st 6 Weeks **

Destination_______________

Date:_____/_____/_____

Time out:_____ Time in:______

Teacher Sign______________ Room: 110 || ** 2nd 6 Weeks ** Student Name_______________

Destination_______________

Date:_____/_____/_____

Time out:_____ Time in:______

Teacher Sign______________ Room: 110 || ** 3rd Weeks ** Student Name_______________

Destination_______________

Date:_____/_____/_____

Time out:_____ Time in:______

Teacher Sign______________ Room: 110 ||


 * Detentions**


 * ** 1st 6 Weeks ** || ** 2nd 6 Weeks ** || ** 3rd Weeks ** ||