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Office Discipline Referral  Form

Office Discipline Referral Form

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Adult is required to sign the form and return it to school* If you have any questions please contact the office at 246-4644. Administrator s Signature Parent s Signature Date WHITE COPY Return to School YELLOW COPY Parent PINK COPY File GOLD COPY -Teacher. Your son/daughter has been assigned a consequence. An adult is required to sign the form and return it to school* If you have any questions please contact the office at 246-4644. Administrator s Signature Parent s Signature Date WHITE COPY...
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Mother is a fourth grade student in Mrs. Res room Johnny and his friends are outside playing at recess when Johnny pulls out a small pocketknife that his dad gave him johnny shows it to the other boys in this class and talks about how he plans to make sure that wrecks on the bus won't pick on him any more Luke one of Johnny's friends tried to talk to Johnny and get him to give the pocketknife to his teacher, but Johnny sticks the knife in his pocket and tells Luke to quit being a tattletale Luke doesn't want to get Johnny in trouble but when he but he knows that it is against school rules to have a knife at school Luke reports to Mrs. Read the information here at recess and Johnny's planned for the bus, so we're going to go over how to write an office discipline referral with our example scenario when we are filling out an office discipline referral there's a couple of things that you need to make sure that you are including in your referral you need to make sure that you're including

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