Detention
Student Name
Teacher
Mrs. Barrett
Mr. Beaber
Mrs. Beaber
Miss Blanchard
Mrs. Blanco
Mrs. Brewer
Mrs. Brown
Miss Cassie
Mrs. Diaz
Miss Eagen
Miss Jones
Mrs. Lopez
Mr. Morris
Mrs. O'Leary
Mrs. Pennington
Mrs. Gibson
Mrs. Smith
Mrs. Peterson
Mrs. King
Mr. Thompson
Grade
4th
5th
6th
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Incident
Location of Incident
Classroom
Playground
Hallway
Library
Computer Lab
Office
Other
# of Days
Reason(s):
Annoying Classmates
Stealing
Bullying
Cheating
Defiance or Authority
Destructive to school property
Detrimental behavior
Disrespectful
Disruptive behavior
Excessive talking
Inappropriate Language
Inattentive
Lack of cooperation
Lack of effort
Lying
Obscene gesture
Rude, discourteous behavior
Throwing objects
Violation of Computer Policy
Comments:
Parent Signature:
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Parent does not need to sign for this reason:
Date Served
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