STUDENT PASS STUDENT PASS
Date ______________
Please Admit Please Admit
Excuse (Name of Student) Excuse (Name of Stu
Allow Allow
(Grade and Section) (Grade and Se
To Classroom Computer Lab To Classroom
From Comfort Room Office From Comfort Room
Other_________________________ Other_______________
AM / PM AM / PM
Time Left Signature Time Left Signatu
AM / PM AM / PM
Time Arrived Signature Time Arrived Signatu
STUDENT PASS STUDENT PASS
Date ______________
Please Admit Please Admit
Excuse (Name of Student) Excuse (Name of Stu
Allow Allow
(Grade and Section) (Grade and Se
To Classroom Computer Lab To Classroom
From Comfort Room Office From Comfort Room
Other_________________________ Other_______________
AM / PM AM / PM
Time Left Signature Time Left Signatu
AM / PM AM / PM
Time Arrived Signature Time Arrived Signatu
STUDENT PASS STUDENT PASS
Date ______________
Please Admit Please Admit
Excuse (Name of Student) Excuse (Name of Stu
Allow Allow
(Grade and Section) (Grade and Se
To Classroom Computer Lab To Classroom
From Comfort Room Office From Comfort Room
Other_________________________ Other_______________
AM / PM AM / PM
Time Left Signature Time Left Signatu
AM / PM AM / PM
Time Arrived Signature Time Arrived Signatu
NT PASS
Date ______________
(Name of Student)
(Grade and Section)
Computer Lab
Office
_________________________
Signature
Signature
NT PASS
Date ______________
(Name of Student)
(Grade and Section)
Computer Lab
Office
_________________________
Signature
Signature
NT PASS
Date ______________
(Name of Student)
(Grade and Section)
Computer Lab
Office
_________________________
Signature
Signature