Aa/na Meetings-Attendance Form

ARLINGTON COUNTY

COMMUNITY CORRECTIONS UNIT

COURT SQUARE WEST-1400 N.UHLE STREET, SUITE 102

ARLINGTON, VA 22201-Tel# (703) 228-0125. Fax# (703) 228-0128

Winston A. Marcus

Director

AA/NA MEETINGS-ATTENDANCE FORM

TO WHOM IT MAY CONCERN:

___________________________________ is encouraged to attend AA/NA meetings in the

community so that he/she might have the opportunity to meet and converse with others persons

who have alcohol or substance abuse issues and are motivated to seek help.

It is requested that the AA/NA group secretary of leader date and sign this form for our records.

It will be the responsibility of the participant to return this form to us.

Thank you in advance for your cooperation, it is greatly appreciated.

DATE

TYPE OF MEETING

LOCATION

SIGNATURE

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Parent category: Legal