Detention Consent Form

Student information
Student Name: Grade:
Date and time: / / 2023 at : Subject(s)
Teacher(s) :

Incident details
Date of Incident: / / 2023 Time of Incident: :

Reasons:
_____________________________________________________________________________
_____________________________________________________________________________

_____________________________________________________________________________

Notes:

Detention
Date of Detention: / / 2023 Time of Detention: :
Classroom: Supervisor(s):
Required work:

Requirement(s): ✓ Students are required to bring books to detention.

✓ There is no talking during the detention period.
Behavioral Goals:

Headmistress Signature: IHEB TRABELSI Date: / / 2023

Teacher Signature: Date: / / 2023

Parent Signature: Date: / / 2023