Defendant'S Proof Of 12 Step Program (Na/aa) Attendance Form

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Miami-Dade County Drug Court Program
DEFENDANT’S PROOF OF 12 STEP PROGRAM (NA/AA) ATTENDANCE
As a condition of my participation in the Miami-Dade Drug Court Program, I,
_______________________________________________, am required to attend
No less than two 12 step program (NA/AA) meetings per week during my duration
in the program.
DATE:__________________________________
DATE:__________________________________
GROUP:________________________________
GROUP:________________________________
LOCATION:_____________________________
LOCATION:_____________________________
TOPIC:__________________________________
TOPIC:__________________________________
SIGNATURE OR INITIALS:_______________
SIGNATURE OR INITIALS:_______________
DATE:__________________________________
DATE:__________________________________
GROUP:________________________________
GROUP:________________________________
LOCATION:_____________________________
LOCATION:_____________________________
TOPIC:__________________________________
TOPIC:__________________________________
SIGNATURE OR INITIALS:_______________
SIGNATURE OR INITIALS:_______________
DATE:__________________________________
DATE:__________________________________
GROUP:________________________________
GROUP:________________________________
LOCATION:_____________________________
LOCATION:_____________________________
TOPIC:__________________________________
TOPIC:__________________________________
SIGNATURE OR INITIALS:_______________
SIGNATURE OR INITIALS:_______________
DATE:__________________________________
DATE:__________________________________
GROUP:________________________________
GROUP:________________________________
LOCATION:_____________________________
LOCATION:_____________________________
TOPIC:__________________________________
TOPIC:__________________________________
SIGNATURE OR INITIALS:_______________
SIGNATURE OR INITIALS:_______________
DATE:__________________________________
DATE:__________________________________
GROUP:________________________________
GROUP:________________________________
LOCATION:_____________________________
LOCATION:_____________________________
TOPIC:__________________________________
TOPIC:__________________________________
SIGNATURE OR INITIALS:_______________
SIGNATURE OR INITIALS:_______________
DATE:__________________________________
DATE:__________________________________
GROUP:________________________________
GROUP:________________________________
LOCATION:_____________________________
LOCATION:_____________________________
TOPIC:__________________________________
TOPIC:__________________________________
SIGNATURE OR INITIALS:_______________
SIGNATURE OR INITIALS:_______________
DATE:__________________________________
DATE:__________________________________
GROUP:________________________________
GROUP:________________________________
LOCATION:_____________________________
LOCATION:_____________________________
TOPIC:__________________________________
TOPIC:__________________________________
SIGNATURE OR INITIALS:_______________
SIGNATURE OR INITIALS:_______________

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