Communion & Visitation Monthly Report Form

COMMUNION AND VISITATION FORM SUBMISSIONS ARE DUE THE LAST SATURDAY OF EVERY MONTH.

Please fill out this form and click submit.

Reports are DUE the LAST SATURDAY of Each Month

Date Submitted:

*

Communion Month Reporting

*

Name of Minister Reporting

*

Communion & Visitation Group

*

Please select all that apply.

1 2 3 4 5 6 7 8 9

Visit 1

Names of Member Communed or Visited:

*

Visit Type:

*

Please select all that apply.

In-Person Phone Call Option

Communion:

*

Please select all that apply.

Given Refused Prayer Only

Member Update | Concerns:

*

Visit 2

Name of Member Communed or Visited:

*

Visit Type:

*

Please select one option.

In-Person Phone Call Option

Communion:

*

Please select one option.

Given Refused Prayer Only

Member Update | Concerns:

*

Visit 3

Name of Member Communed or Visited:

*

Visit Type:

*

Please select one option.

In-Person Phone Call Option

Communion

*

Please select one option.

Given Refused Prayer Only

Member Updates | concerns:

*

Visit 4

Name of Member Communed or Visited:

*

Visit Type:

*

Please select one option.

In-Person Phone Call

Communion

*

Please select one option.

Given Refused Prayer Only

Member Updates | Concerns:

*

Description

COMMUNION AND VISITATION FORM SUBMISSIONS ARE DUE THE LAST SATURDAY OF EVERY MONTH.

Please fill out this form and click submit.

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