Monthly Child Attendance Verification

Contact

Casaundra Dixon-Smith
Student Support Counselor
Office 105, McIntyre Building, Tarboro campus
dixonsmithc@edgecombe.edu
(252) 618-6537

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.

Facility Name*
Email*
Email address of person completing this form.
Enter Email Confirm Email
Student-Parent Name*
Month*
Attendance*
Insert a new row for each child.
Child Name Days Present Days Absent Days Closed Total Days Accounted For
Comments
*
- I attest that I am an authorized representative of the childcare agency identified above and that I have completed this form honestly and to the best of my knowledge.
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Edgecombe Community College

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Monthly Child Attendance Verification

Monthly Child Attendance Verification

Contact

I attest that I am an authorized representative of the childcare agency identified above and that I have completed this form honestly and to the best of my knowledge.

Child Name	Days Present	Days Absent	Days Closed	Total Days Accounted For