Deacon Visitation Form
Please fill out this form completely.
Team #* 1 2 3 4 5
1st Deacon*
2nd Deacon*
Date of Visit* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036
Member's Name*
Form
Please complete this form entirely in order to help us maintain accurate records of Deacon Visits. If you have any questions, or concerns, please email Re. Ethel Southern at revsouthern@covucc.org
Gift Given: Yes No
Sunday Offering Received: Yes No
Gift Returned to Benevolence: Yes No
Communion Given: Yes No
Magnet Given: Yes No
CD Given: Yes No
Emergency Card Filled Out: Yes No
Additional Comments
