Monthly Club Attendance Report Form

Honorary members are not to be included in any data submitted on this form

Rotary Club Name

Month of Report

Membership changes through the month

Please send each new members details to District by this LINK

Members Inducted

Please include nil return

Total members who have left the club this month

Please include nil return

Please supply guidance
as to reasons for members
leaving your club this month

Died
Moved Away
Other Reasons

Number of Members
at end of the month

(Excluding Honorary Members)

Attendance Percentage for month

Your email address

Message for Attendance Officer if any

Please check details before submitting

A copy of the results from this form that you have submitted, will be automatically sent to the email address you have supplied in " Your email address" as confirmation