Participation Record - ASI Cal Poly

Parent Participation Record

ASI Children's Center

Home Discover ASI Public Documents Forms & Policies Children’s Center Forms & Policies Participation Record

Child's Name*
First Last
Room Number*
Name of person who completed service hours*
First Last
Date of Service*
MM slash DD slash YYYY

*Due by the last day of the current month
Number of Hours Completed -OR-
Amount of Purchase
Description of Service or Purchase*
Signature*
Date*
MM slash DD slash YYYY
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Associated Students, Inc.
ASI Business Office University Union
1 Grand Avenue
San Luis Obispo, CA 93407