Everyone messes up sometimes! ;-) After warning some students about their behavior and not seeing improvement, I decided I needed a written tool to communicate with them the importance of following our classroom rules. I created this form and it was a very effective way for me to discuss and problem solve their behavioral issue. Under the Teacher Comment portion I would state the consequence - loss of Dojo points, written apology, sent to principal, etc.. I would sometimes use the parent signature line and sometimes not, depending on the offense. After the form was returned I placed it in the students file for later reference if needed.
I also have this file in Word if you would like to customize it with your own classroom rules. After purchase send me a message and I can send you the file.
Thank you for looking!