NAME ___________________________ DATE __________

ACTIVITY _________________________________________
_________________________________________________
TIME ___________(hrs)
SUPERVISOR SIGNATURE ____________________________
Please make sure that you fill out this entire sheet for each activity in which you participate. Even if there was a sign-up
sheet in Mrs. Webers room, we still need one of these activity sheets (exceptions are Firemens Dinner, teacher treats,
LEO meetings and activities where an officer or Mrs. Weber has a sign-in sheet at the event and has notified you that you
dont need to turn anything else in.) Hours for the month are due in the box or to Syed by the first Friday of the
following month. If you have a receipt, please attach it. If you have any questions about hours, activities, locations or
anything else, here are some phone numbers: Delaney (President): 913-230-7657 Lanie (Vice-President):
913-575-8371 Syed (Secretary): 913-235-3182

NAME ___________________________ DATE __________

ACTIVITY _________________________________________
_________________________________________________
TIME ___________(hrs)
SUPERVISOR SIGNATURE ____________________________
Please make sure that you fill out this entire sheet for each activity in which you participate. Even if there was a sign-up
sheet in Mrs. Webers room, we still need one of these activity sheets (exceptions are Firemens Dinner, teacher treats,
LEO meetings and activities where an officer or Mrs. Weber has a sign-in sheet at the event and has notified you that you
dont need to turn anything else in.) Hours for the month are due in the box or to Syed by the first Friday of the
following month. If you have a receipt, please attach it. If you have any questions about hours, activities, locations or
anything else, here are some phone numbers: Delaney (President): 913-230-7657 Lanie (Vice-President):
913-575-8371 Syed (Secretary): 913-235-3182

NAME ___________________________ DATE __________

ACTIVITY _________________________________________
_________________________________________________
TIME ___________(hrs)
SUPERVISOR SIGNATURE ____________________________
Please make sure that you fill out this entire sheet for each activity in which you participate. Even if there was a sign-up
sheet in Mrs. Webers room, we still need one of these activity sheets (exceptions are Firemens Dinner, teacher treats,
LEO meetings and activities where an officer or Mrs. Weber has a sign-in sheet at the event and has notified you that you
dont need to turn anything else in.) Hours for the month are due in the box or to Syed by the first Friday of the
following month. If you have a receipt, please attach it. If you have any questions about hours, activities, locations or
anything else, here are some phone numbers: Delaney (President): 913-230-7657 Lanie (Vice-President):
913-575-8371 Syed (Secretary): 913-235-3182