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Parent Hours Monthly Tally Sheet

All hours must be recorded on this Tally Sheet.


Please turn this Tally Sheet into the Parent Hours Drop Box. The hours will be calculated on a monthly basis only.
PLEASE PRINT FILL FORM OUT COMPLETELY
Parent Name: ______________________________________________________________________
Student Name (s):____________________________________________________________________
Phone Number:_____________________________________________________________________
Teacher/Staff Member Signature:______________________________________________________
Day
Activity Completed/
Item Purchased
Price
(if applicable)
Hour
Equivalent Day
Activity Completed/
Item Purchased
Price
(if applicable)
Hour
Equivalent
1 17
2 18
3 19
4 20
5 21
6 22
7 23
8 24
9 25
10 26
11 27
12 28
13 29
14 30
15 31
16 Total Monthly Hours

List the activity or items purchased and the hour equivalent each day.
Receipts or receipt copies MUST BE turned in to receive credit for items purchased.
Have the teacher or staff member who verified the hours sign the log. Hours will not be accepted without a
signature.
At the end of each month, tally up your hours and put them in the Total Monthly Hours section.
Drop the completed form into the parent drop box to be tracked by school personnel.
Keep a copy of your Tally Sheet for your own reference.