Post-Visitation Form

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Date of Visitation*

Church Name and City*

e.g. St. Smith's, Anytown

Enter the number of people baptized at this visitation*

Please enter a number from 0 to 30.

Enter the number of people confirmed at this visitation*

Please enter a number from 0 to 30.

Enter the number of people received at this visitation*

Please enter a number from 0 to 30.

Enter the number of people reaffirmed at this visitation*

Please enter a number from 0 to 30.

Name of person submitting form*

Email of person submitting form*

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