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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