Start Date: _____________________ End Date: _____________________ Class Time: _______________________
Please place a check mark in the box for each class a participant attends. If participant is absent, mark “A” in the box.
Leader Name Phone Number
Participant
Name
Phone Number
0
1
2
3
4
5
6
7
Notes
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Class Number
Instructors: Please initial the classes you lead. If class utilizes a substitute, please enter their name in the “Notes” section and have the sub initial the appropriate box.
Use same attendance log each class. If you enroll more than 14 participants, please print an additional attendance log and staple together.