Name of School

I, (name of pupil) promise to do my best to act accordingly and use

the right decisions, holding myself accountable to a high standard of
integrity and discipline myself to change my attitude and not to bully my
classmates anymore.

The name appeared above voluntary accepts the consequences in

his actions if he may do it again, thus the following will be imposed of not
abiding this agreement:
1. The child will be expelled in (name of school).
2. The child must be endorsed to DSWD for counselling
recommendations.

I, (name of mother), mother of (name of pupil) voluntarily accepts

the consequences stated above if my child will continue bullying his
classmates.

Done this of at (name of school),

(address).

_______________________
Mother Pupil

__________________ ____________________
Teacher School Head