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.
  • Insert a new row for each child.
    Child NameDays PresentDays AbsentDays ClosedTotal Days Accounted For 
    Add a new row
  • This field is for validation purposes and should be left unchanged.