___________________ Name __________________ Datum So habe ich mich verhalten: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Gegen diese Strolchen- oder Schulregel habe ich verstoßen: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Das nehme ich mir vor ☺ ______________________________________________________________________________ ____________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ________________________ Unterschrift des Kindes ________________________ Unterschrift der Betreuerin _____________________________ Unterschrift der Eltern
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