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Month 4- Attendance 20 21 1

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Alder Grove Charter School Attendance Log
Month 4 (Green)
January 19, 2021 – February 26, 2021
Student Name (last, first):
_____________________________________________________ Student Grade: __________
Teacher Name (last, first):
_________________________________________________________________
Beginning Date: ________1/19/21_________ Ending Date: ________2/26/21_________ Days Possible: 27
Directions: Use blue or black ink only. Mark an E on the day enrolled. Mark an X for a day of attendance. Mark a 0 for an absence.
Mark a W on the day withdrawn. Leave blank if not enrolled. List a minimum of one educational activity in which a student participated
for each day of attendance claimed. No pencil and/or whiteout allowed.
Date
Attended
1
1/19
2
1/20
3
1/21
4
1/22
5
1/25
6
1/26
7
1/27
8
1/28
9
1/29
10
2/1
11
2/2
12
2/3
13
2/4
14
2/5
15
2/8
16
2/9
17
2/10
18
2/11
19
2/12
20
2/17
21
2/18
22
2/19
23
2/22
24
2/23
25
2/24
26
2/25
27
2/26
Days Attended:
_______
Days Absent:
________
Days Not Enrolled:
_______
Parent, Guardian, or Adult Student Certification: _________________________________________Date: _____________
Teacher Certification: _________________________________________________________________ Date: _____________
Certification: To the best of my knowledge this record has been kept as required by laws pertaining to charter schools including meetings held at least every 20 days.
Emancipated minors or students age 18 and over may sign/certify in place of parent or guardian.
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Month 4- Attendance 20 21 1

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Completed 1 March 2021

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