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Guidance and Counseling Office Guidance and Counseling Office

PERMIT TO GO HOME PERMIT TO GO HOME

Name: _________________________________ Name: _________________________________


Year and Section: ________________________ Year and Section: ________________________

Please present this permit to our school guard: Please present this permit to our school guard:

Date:____________ Time: _________________ Date:____________ Time: _________________


Reason of Leaving: Reason of Leaving:
_______________________________________ _______________________________________
_______________________________________ _______________________________________
Student’s Signature: ____________________ Student’s Signature: ____________________
Teacher’s Signature: ______________________ Teacher’s Signature: ______________________
Guidance Counselor’s Signature: ____________ Guidance Counselor’s Signature: ____________

Guidance and Counseling Office Guidance and Counseling Office


PERMIT TO GO HOME PERMIT TO GO HOME
Name: _________________________________ Name: _________________________________
Year and Section: ________________________ Year and Section: ________________________

Please present this permit to our school guard: Please present this permit to our school guard:

Date:____________ Time: _________________ Date:____________ Time: _________________


Reason of Leaving: Reason of Leaving:
_______________________________________ _______________________________________
_______________________________________ _______________________________________
Student’s Signature: ____________________ Student’s Signature: ____________________
Teacher’s Signature: ______________________ Teacher’s Signature: ______________________
Guidance Counselor’s Signature: ____________ Guidance Counselor’s Signature: ____________

Guidance and Counseling Office Guidance and Counseling Office


PERMIT TO GO HOME PERMIT TO GO HOME

Name: _________________________________ Name: _________________________________


Year and Section: ________________________ Year and Section: ________________________

Please present this permit to our school guard: Please present this permit to our school guard:

Date:____________ Time: _________________ Date:____________ Time: _________________


Reason of Leaving: Reason of Leaving:
_______________________________________ _______________________________________
_______________________________________ _______________________________________
Student’s Signature: ____________________ Student’s Signature: ____________________
Teacher’s Signature: ______________________ Teacher’s Signature: ______________________
Guidance Counselor’s Signature: ____________ Guidance Counselor’s Signature: ____________

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