Green Hot Pass Cards
Pass 1
Official Hot Pass Take a Break
Authorized self-regulation & calm-down hall pass
5 - 10 Min Max
Student Name:
_______________________________
Destination:
[ ] Calm Corner [ ] Office
Date:
____ / ____ / 20___
Time Out:
_______ : _______ AM / PM
Expected Return:
_______ : _______ AM / PM
Teacher Initials:
______________
My Reset Plan (Pick 1 or 2):
Take 5 slow belly breaths (Box breathing)
Get a cold drink of water at the fountain
Do 10 wall push-ups or body stretches
Use sensory fidget or squeeze stress ball
Regulation Check-In:
🔴 Hot / 10
🟡 Cooling / 5
🟢 Ready / 1
Destination Staff Check-In:
Pass Rules: Walk calmly & quietly • Go straight to reset area • Return ready to learn
Green Zone Reset
Cut along dashed line to separate passes
Pass 2
Official Hot Pass Reset & Refocus
Authorized self-regulation & calm-down hall pass
5 - 10 Min Max
Student Name:
_______________________________
Destination:
[ ] Calm Corner [ ] Office
Date:
____ / ____ / 20___
Time Out:
_______ : _______ AM / PM
Expected Return:
_______ : _______ AM / PM
Teacher Initials:
______________
My Reset Plan (Pick 1 or 2):
Take 5 slow belly breaths (Box breathing)
Get a cold drink of water at the fountain
Do 10 wall push-ups or body stretches
Use sensory fidget or squeeze stress ball
Regulation Check-In:
🔴 Hot / 10
🟡 Cooling / 5
🟢 Ready / 1
Destination Staff Check-In:
Pass Rules: Walk calmly & quietly • Go straight to reset area • Return ready to learn
Green Zone Reset