UCHU-AA 90/180 Day Attendance Cards 1st/2nd Semester

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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 *

Check One: *

90 Day Attendance Card- FIRST SEMESTER (first 90 days of your homeschooling year, Days 1-90)

90 Day Attendance Card- SECOND SEMESTER (second half of your homeschooling year with 180 days completed, Days 91-180)

Required

Parent #1's Complete Name *

Parent #2's Complete Name

You current Email address: *

Current Mailing Address **AND** phone number *

Indicate Child(ren) this attendance card is for: (first name, last name and grade) *

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

Indicate the END date of your 90 day attendance - FIRST SEMESTER

Indicate the START date of your 90 day attendance - SECOND SEMESTER

YYYY

Indicate the END date of your 90 day attendance - SECOND SEMESTER

YYYY

Comments/Notes

This space is provided if you should need to explain in depth any information you've provided on this form.

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

YYYY

Electronic Signature *

A copy of your responses will be emailed to the address you provided.

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