This is a pass to leave class. The way it works is that the students are permitted to leave class three times each quarter (not counting medical issues and emergencies of course!), with the teacher signing off on each trip. Any unused trips can be turned in at the end of the quarter for extra credit points. This is a word document so you can edit it as you wish. It consists of two pages: page one is the front of the pass and page two is the back explaining the policy. There are three passes per page. I copy them double-sided on card stock.