Print these two pages off as a front and back document.
Every week, on the same day (set by myself), I send home a folder with each student which includes all their graded work from the week. I keep this communication log inside these folders and use it as a documentation of communication on the graded work. For me, this ensures that parents have seen their child's work and are aware of the grades that have been earned...this prevents surprises when report cards come around! Parents love it! Teachers love it! Students love it!
*Tip - I buy page protectors and slide the document inside and clip it inside the folder. This helps the document stand out as well as stay inside the folder!
When writing the dates, I write vertically inside the assigned column.