Sheet 1: Monthly 

	
	
	
	
	
	
	
	
	

		
logo
		
PROGRAM NAME
		
	

		
AFTER-SCHOOL PROGRAM
		
	

		


		
Sign In/Sign-Out Sheet
		


	
	

		
Name:________________________                Student ID#:__________________________            Grade:_______________________
		


		
Month:
		


		


	
	

		


		
Agency:
		


		


	
	

		


		


		


		
Program Site: 
		


		


	
	

		


		


		


		


		


		


	
	

		
Day
		
Date
		
Time IN
		
Student Signature
		
Staff Initial
		
Time OUT
		
Parent Signature
		
ERC*
	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		
*Early Release Codes: A- Parallel Program, B=Family Emergency, C=Medical Appt, D=Poor Weather/Darkness, E= Safety; 
		
	

		


		
I certify that this is a correct reporting of attendance.
		


		


		


		
Date:
		
______________________
		


	
	

		
Site Manager Signature:                                                        .   
		
Title:
		
______________________
		


	



Sheet 2: daily 

	
	
	
	
	
	
	
	

		
School:______________________________________  - ASES After School Program __________
		


		


		


		


		


		


	
	

		
Frontline Staff member:  ______________________              Group name: _____________________
		


		


		


		


		


		


	
	

		
Date:_______________________________
		


		


		


		


		


		


	
	

		
Monday: _______________
		


		


		


		


		


		


	
	

		


		
Student Name
		
Sign-in Time
		
Student Signature
		
Sign-out Time
		
Parent/gaurdian Signature
		
ERC*
	
	

		
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Early Release Codes: (a) Off-site enrichment programs; (b) Family emergency; (c) Family needs; (d) Medical appointment; (e) Transportation; (f) Child accident/injury; (g) Safety issues (darkness, weather);                       (h) Participation in school athletic programs and team sports; (i) Other conditions (State reasons)
		
	

		


		
I have verified the information and it is accurate to the best of my knowledge. 
		
	

		


		
Frontline Staff signature and date:  _______________________________________________
		
	

		


		
Site Coordinator signature and date:  _____________________________________________