UCHU-AA 90 Day Attendance Cards 1st/2nd Semester 2017-2018
Please complete the following form to indicate the date you have completed your 90 day homeschooling attendance for 1st semester and/or 2nd semester

***PLEASE NOTE: Sick days, vacation or general absences CAN NOT be part of your 90 or 180 days of homeschooling. Each student must have 180 days of actual homeschooling days according to the Option 3 law.

Email address *
Check One: *
Required
Mother's Complete Name *
Your answer
Father's Complete Name
Your answer
You current Email address: *
Your answer
Current Mailing Address **AND** phone number *
Your answer
Indicate Child(ren) this attendance card is for: (first name, last name and grade) *
Your answer
Indicate the START date of your 90 day attendance - FIRST SEMESTER
Please complete information for which attendance card you are completing. If 90 day attendance card for 1st Semester complete that information. Or if 90 day attendance card for 2nd semester complete that information. Example: Month/Day/Year
Your answer
Indicate the END date of your 90 day attendance - FIRST SEMESTER
Please complete information for which attendance card you are completing. If 90 day attendance card for 1st Semester complete that information. Or if 90 day attendance card for 2nd semester complete that information. Example Month/Day/Year
Your answer
Indicate the START date of your 90 day attendance - SECOND SEMESTER
Please complete information for which attendance card you are completing. If 90 day attendance card for 1st Semester complete that information. Or if 90 day attendance card for 2nd semester complete that information. Example Month/Day/Year
MM
/
DD
/
YYYY
Indicate the END date of your 90 day attendance - SECOND SEMESTER
Please complete information for which attendance card you are completing. If 90 day attendance card for 1st Semester complete that information. Or if 90 day attendance card for 2nd semester complete that information. Example Month/Day/Year
MM
/
DD
/
YYYY
Comments/Notes
This space is provided if you should need to explain in depth any information you've provided on this form.
Your answer
You, the parent, certify that all information included on this form is accurate, correct and documented in your homeschooling records for this student. And if needed verification of this information may be provided: ***Parent Signature** *
Type your full name
MM
/
DD
/
YYYY
Electronic Signature *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms