HEADPHONE PASS

This pass entitles the bearer to listen to music on headphones for one day in class. The
headphones may only be using during worktime, not while Ms. Evans or another student is
addressing the class. The music must be quiet enough that it cannot be heard. The headphones
may not be shared. If any of the conditions are not followed, the pass becomes invalidated. This
pass is for Ms. Evanss Math class only.

Given to: ____________________________ on __/__/2012 X____________________________

Student name

Date teacher signature


HEADPHONE PASS
This pass entitles the bearer to listen to music on headphones for one day in class. The
headphones may only be using during worktime, not while Ms. Evans or another student is
addressing the class. The music must be quiet enough that it cannot be heard. The headphones
may not be shared. If any of the conditions are not followed, the pass becomes invalidated. This
pass is for Ms. Evanss Math class only.

Given to: ____________________________ on __/__/2012 X____________________________

Student name

Date teacher signature


HEADPHONE PASS
This pass entitles the bearer to listen to music on headphones for one day in class. The
headphones may only be using during worktime, not while Ms. Evans or another student is
addressing the class. The music must be quiet enough that it cannot be heard. The headphones
may not be shared. If any of the conditions are not followed, the pass becomes invalidated. This
pass is for Ms. Evanss Math class only.

Given to: ____________________________ on __/__/2012 X____________________________

Student name

Date teacher signature