EMEI PROF. ENIO CORRÊA EMEI PROF.

ENIO CORRÊA
AV.BASILÉIA, 80 – LAUZANE PAULISTA AV.BASILÉIA, 80 – LAUZANE PAULISTA
FONE : 2231-7175 / 2231-9840 FONE : 2231-7175 / 2231-9840
emeieniocorrea@sme.prefeitura.sp.gov.br emeieniocorrea@sme.prefeitura.sp.gov.br

AUTORIZAÇÃO DE SAÍDA AUTORIZAÇÃO DE SAÍDA

ALUNO: ________________________________________________________ ALUNO: ________________________________________________________

PROFªS.: _______________________________________________________ PROFªS.: _______________________________________________________

TURMA : _______________________SALA: __________________________ TURMA : _______________________SALA: __________________________

RESPONSÁVEIS EM RETIRARA CRIANÇA: RESPONSÁVEIS EM RETIRARA CRIANÇA:

1. _______________________________________________________ 1. _______________________________________________________
2. _______________________________________________________ 2. _______________________________________________________
3. _______________________________________________________ 3. _______________________________________________________
4. _______________________________________________________ 4. _______________________________________________________
5. _______________________________________________________ 5. _______________________________________________________
6. _______________________________________________________ 6. _______________________________________________________
7. _______________________________________________________ 7. _______________________________________________________
8. ________________________________________________________ 8. ________________________________________________________

___________________________________ ____________________________________

Assinatura do Responsável
Assinatura do Responsável

Data:___/___/___ Data:___/___/___