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Name Think About It Form Sign and return the next school day Today I clipped down because I chose not to stay in my seat. I chose to keep talking when it was not my turn* I chose not to follow directions the first time. I chose not to raise my hand to speak. I chose not to finish my work. I chose to act silly and play at an inappropriate time. I chose to be disrespectful to my teacher classmate s or a guest of the classroom* my teacher was teaching. I chose to misbehave in the restroom* music library or computer lab. playground. and/or in line. Other I clipped to circle one Yellow Orange Red Comments What I can do next time please complete with your parent s Student signature Parent signature. I chose to keep talking when it was not my turn* I chose not to follow directions the first time. I chose not to raise my hand to speak. I chose not to finish my work. I chose to act silly and play at an inappropriate time. I chose to be disrespectful to my teacher classmate s or a guest of the classroom* my teacher was teaching. I chose not to finish my work. I chose to act silly and play at an inappropriate time. I chose to be disrespectful to my teacher classmate s or a guest of the classroom* my teacher was teaching. I chose to misbehave in the restroom* music library or computer lab. playground. and/or in line. Other I clipped to circle one Yellow Orange Red Comments What I can do next time please complete with your parent s Student signature Parent signature. I chose to keep talking when it was not my turn* I chose not to follow directions the first time. I chose not to raise my hand to speak. I chose not to finish my work. I chose to act silly and play at an inappropriate time. I chose to be disrespectful to my teacher classmate s or a guest of the classroom* my teacher was teaching. I chose to misbehave in the restroom* music library or computer lab. playground. and/or in line. Other I clipped to circle one Yellow Orange Red Comments What I can do next time please complete with your parent s Student signature Parent signature.

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