FIRST CHRISTIAN CHURCH

HOMEBOUND COMMUNION REPORT

(To Be Completed by Elder)

Visitation

Name of person visited

First Name
Last Name

Date of visit

                     -- mm/dd/yy

 

Communion

Select any of the following options that apply

to communion:

Took Bread
Did Not take Bread
Took Cup
Did not Take Cup

Are there any Special Instructions for Other teams: (Example: chokes easily and needs paper-thin wafers, room-mate wants communion too)

 

Pastoral visit

Pastoral visit is needed Pastoral visit is not needed

comments for pastor

 

 

Receptivity to visit

  was receptive to our visit was not receptive to our visit

If no, why not?

 

 

 

Submitted by

 

First Name
Last Name
E-mail