KBARR Form

Name:
Date:
Title of Book:
Date Time Started-Time Stopped Pages Read* Parent Signature
1
--
--
 x
2
--
--
 x
3
--
--
 x
4
--
--
 x
5


*Note: List page numbers read, not simply number of pages read. Example: p.123-p.134
This goes into your notebook.

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