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Dear Parent(s)/Guardian(s),

_____________________ broke the following rule(s) today _______________ on 3 occasions:

___ Raise your hand to speak or to leave your seat.
___ Follow directions swiftly.
___ Keep your hands and feet to yourself.
___ Respect others.
___ Maintain ship shape order when in line.
Classroom rules must be followed in order to protect the rights of every student to learn and
enjoy school. By choosing not to follow them, your child interfered with those rights.
Please acknowledge receiving this letter by signing your name at the bottom and having your
child return it to us tomorrow.
Thank you for your support.

Ms. Cape
Student Signature __________________________________________
Parent/Guardian Signature ___________________________________