Nar-Anon Central California Region
Area Service Committee and Regional Service Assembly Member Sign-in Form

Use this form on the day of the meeting to affirm your attendance at Regional Assemblies and Area Service Committee meetings. This information is sent to the Regional Secretary and will be kept confidential within the Regional Service Committee.

Member Sign-in

Name

Please enter your first name and last initial.

First Name

Last Name

Phone

(###)

###

####

Position

Group Service Representative (GSR)

Alternate GSR

Substitute GSR

RSC Member

Observing Member

Other

Group Name

Group City

Group Day(s)

Group Meeting Time (PT)

Nar-Anon Central California RegionArea Service Committee and Regional Service Assembly Member Sign-in Form

Member Sign-in

Nar-Anon Central California Region
Area Service Committee and Regional Service Assembly Member Sign-in Form