Student Attendance Form

Attendance & Progress Tracker

Todays Attendance & Yesterdays Results
Commitment #1 - Log attendance each day at 4:30am

This will be timestamped (you must complete before 4:30am)
Name

First NameLast Name
State you live in

Street Address

Street Address Line 2

CityState

Zip Code
Email (we send confirmation email)
example@example.com
Yesterdays Results
Daily Commitments

4:30 am to 7:30 workNo alcoholAte healthy (be honest)No sugar
You must complete everything!

30 minute workoutIn bed by 9:30 pm8 glasses of water
What did you accomplish yesterday? (4:30 to 7:30 am )
Friends, Family, Community (3 calls a day) - who did you call?
I made it thru the day without these bad habits
***** Check out the whole 430 Psycho Challenge *****
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Should be Empty:

Attendance & Progress Tracker