CHORES

Date

First Name

Last Name

Check the chores done today.

SELF CARE

WASH FACE

BRUSH TEETH

MAKE BED

FOLD CLOTHES

HELP FAMILY

GROCERIES

COOK

SET DINNER TABLE

CLEAN DINNER TABLE

Today's Pay Amount

I certify the above is correct.

Your Signature

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Parent's Signature

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Parent's Authorization Code

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