Clients’ Activity Weekly Schedule Log  
Write in the name of the activity you participated in.  Indicate any appointments that you attend.  Turn In Completed form at Sunday house meeting and receive additional sheet for the following week.
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Information Description
Client Name
House Location/Room #
Staff Member Receiving Documents
Springdale
Initial
Date Received
MM
/
DD
/
YYYY
Day
Name of Activity
Time
Time
:
Date:
MM
/
DD
/
YYYY
Submit
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