RECORD OF SERVICE HOURS
2019-2020
NAME OF PARENT(S) ___________________________________________________________________
NAME(S) OF STUDENT(S) ________________________________________________________________
SERVICE RENDERED (Work Day, Concessions, Santa Store, etc.) NUMBER OF HOURS
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TOTAL NUMBER OF HOURS COMPLETED ________________
- I have completed my service hours for the 2019-2020 school year as indicated above.
- I have opted to pay the $200.00 assessment in lieu of submitting service hours and have already paid for the year.
- I have opted to pay the $200.00 assessment in lieu of submitting service hours. Please find my payment of $200.00 attached.
- I have completed a portion of my service hours to the school (listed above) and have attached a partial payment in the amount of $10.00 per hour to cover the remaining hours.