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SARSARACAT ELEMENTARY

SCHOOL

PERFORMANCE
SyTASKS
2021-2022

JUAN A. DELA CRUZ


Grade 2 PUPIL

JUANA B. DELA ROSA


CLASS TEACHER-ADVISER
QUARTER I
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
_________________________________________
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WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
_________________________________________
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
_________________________________________
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
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_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
QUARTER II
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
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_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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Date:
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_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_____________

_________________________________________
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_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_____________

_________________________________________
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_________________________________________
_____________
Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_____________

_________________________________________
_____________

_________________________________________
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Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_____________

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_________________________________________
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Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
QUARTER III
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_____________

_________________________________________
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_________________________________________
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Date:
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_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_____________

_________________________________________
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_________________________________________
_____________
Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_____________
Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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___

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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
QUARTER IV
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
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Date:
_________________________________________
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
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_________________________________________
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Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
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_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
_________________________________________
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
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_________________________________________
_____________
Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
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_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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LESSON:
_________________________________________
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_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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WEEK NUMBER:
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
_________________________________________
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___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
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_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
_________________________________________
____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
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___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
SUBJECT:
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____________
LESSON:
_________________________________________
_____________

_________________________________________
_____________

_________________________________________
_____________
Date:
_________________________________________
_____________
WEEK NUMBER:
_________________________________________
___

___________________________________________
Parent’s/Guardian’s Signature over Printed Name
TEACHER’S
FEEDBACK:

___________________________________________
Teacher’s Signature over Printed Name

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