ActivitiesCompletionLog Activities Completion Log Please complete the form below: ActivityCompletionLog Date * Amount of Time Spent * 1/4 hour1/2 hour3/4 hour1 hour1 1/4 hours1 1/2 hours1 3/4 hours2 hours Parents Name * First and Last Name Childs Name * First and Last Name Description * Description of Activity Completed Program Child is enrolled In * Pre-KHead StartEarly Head StartEHS/CCP If you are human, leave this field blank. Submit
