Student Name: ___________________________ Date: __________

Class: __________ Grade:__________

Today I have a yellow

Yellow Card because:

□ I was talking too much
□ I did not finish my work
□ I did not use my time wisely
□ Not following directions
□ Out of my spot
□ Disrespect for others

Please stop what you are doing and rethink your behavior choice.
Bring this card back to me after my lesson and tell me what you
were doing wrong and how you are going to make better choices.
Student Name: ___________________________ Date: __________

Class: __________ Grade:__________

Today I went to pink because:
Reason for pink slip
□ Disrespect toward teacher
□ Disrespect toward peer
□ Inappropriate language
□ Disruptive
□ Throwing, shouting, or horseplay
□ Disruptive
□ Late to class
□ Lack of focus
□ Other: __________________________
STOP HERE – See Ms. Elena after class to determine your
consequence.

Teacher´s signature ______________________

___________________________________________________

Consequence – DO NOT FILL OUT YOURSELF!

□ Warning □ Principal visit
□ ½ hour detention □ After-school detention
□ Parent phone call □ Lunch detention
□ 1 hour detention □ Expulsion
□ Other: _________________________________
Coordinator´s signature ______________________

Parent signature _____________________

NOTE : Ask if we could add more information like an action taken prior to this notice.