Monthly Child Attendance Verification


This form is to be completed by an approved daycare representative and is due by 12 p.m. on the 1st of each month. You may use one form to document attendance for multiple children with the same parent. If one but not all of the children of this student-parent are present on any given date, please select "other" and document this in the space provided.

  • Email address of person completing this form.
  • Insert a new row for each child.
    Child NameDays PresentDays AbsentDays ClosedTotal Days Accounted For