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CEMS Sign-Out Form
Please complete this form before you leave the classroom.
The form will automatically collect your name and the time you left the room.
* Indicates required question
Email
*
Record my email address with my response
Grade
*
4th Grade
5th Grade
6th Grade
Required
Class
*
ELA
Math
Social Studies/Science
Specials
Required
Where are you going?
*
Bathroom
Office
Locker
Other
Required
Optional for Teachers - Student Name/Other
Your answer
Submit
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