Union Grove Middle School



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Campbell High School Beta Service Log Sheet

Student Name: _________________________________________Grade:_____

Date Service Activity Hours Supervising Adult Signature

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I understand that I must earn 10 service hours at a CHS Beta sponsored event and 10 service hours outside of Beta, for a total of 20 hours. I verify that all information submitted in this log is accurate.

Student Signature: ____________________________________________________ Date: _________

Parent Signature: _____________________________________________________Date: _________[pic]

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