ADMIT TO CLASS

MIAMI-DADE COUNTY PUBLIC SCHOOLS TO BE FILED IN OFFICE
Date

MonthDayYear
Date
MIAMI-DADE COUNTY PUBLIC SCHOOLS
ADMISSION TO CLASS
(STUDENT ID #)
ON MY HONOR I WAS
(LAST NAME)
(LAST NAME)
(FIRST NAME)
(FIRST NAME)
TODAY'S DATE

MonthDayYear
Date
First Period Teacher Name
TO CLASS
TO SCHOOL
tardiness)
TARDY
TO CLASS
Pupil's Signature
Dates Absent - INCLUDE MULTIPLE DATES IF NEEDED. If Part of the day include periods absent.
PUPIL WRITES NOTHING BELOW THIS LINE
(DATES: IF PART DAY NAME PERIODS)
SIGNATURES OF TEACHERS
Reason for Absence
This pass is to be signed by teachers for the time covered by the excuse. Home Room teachers must sign all passes. The student must request the last teacher who signs the pass to place it with the absence reports to be collected at the beginning of the sixth period. DUPLICATE PASSESWILL
TO BE FILLED IN BY OFFICE CLERK
Time
(ASST. PRINCIPAL FOR ADMIN.)
Today's Date

ADMISSION TO CLASS