Court-Ordered Program Attendance Log
Log and verify attendance for court-mandated program sessions. Please complete all relevant fields accurately.
Participant Full Name
*
First Name
Last Name
Participant Email Address
*
example@example.com
Participant Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Program or Case Reference Number
*
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Session Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Session Type
*
Please Select
Group Counseling
Individual Counseling
Substance Abuse Program
Anger Management
Educational Workshop
Other
Attendance Status
*
Present
Late
Absent
Reason for Absence or Tardiness (if applicable)
Facilitator/Monitor Name
*
Facilitator/Monitor Signature
*
Additional Notes
Submit Attendance Log
Submit Attendance Log
Should be Empty: