I use this form to keep track of students that do not have their assignments completed. In the morning, I check their homework and if it's missing, they have to fill out this form. They have to staple it into their planners. I check the form/planners at the end of the day. It goes home for parents to see what was missing. This definitely comes in handy when it comes time for parent teacher conferences!
UPDATED: I have now made this form editable to fit it to your needs. There are a total of 3 different borders to choose from. The fonts used were Janda Safe and Sound and Janda Closer to Free.