Page 49 - GSCS PUPIL HANDBOOK
P. 49
Gonzaga South Central School
Smart, Gonzaga, Cagayan
PERMIT TO LEAVE THE CLASSROOM
Date: _________________
I _________________________ is allowing ______________________ of ____________________ to leave the
campus____________________ from _________ to _________ due to________________________________.
___________________________________________ _____________________________________________
Signature Over Printed Name of the Concerned Teacher Signature Over Printed Name of the Requesting Teacher/
Authority
Gonzaga South Central School
Smart, Gonzaga, Cagayan
PERMIT TO LEAVE THE CLASSROOM
Date: _________________
I _________________________ is allowing ______________________ of ____________________ to leave the
campus____________________ from _________ to _________ due to________________________________.
___________________________________________ _____________________________________________
Signature Over Printed Name of the Concerned Teacher Signature Over Printed Name of the Requesting Teacher/
Authority
49
