"*" indicates required fields Visitation InformationDate of Visitation* MM slash DD slash YYYY Church Name and City*e.g. St. Smith's, AnytownBaptism InformationEnter the number of INFANT(S) baptized (12 months or younger) at this visitation*Enter the full name of INFANT(S) baptized (12 months or younger) at this visitationEnter the number of CHILD(REN) baptized (under 16 years old) at this visitation*Enter the full name of CHILD(REN) baptized (under 16 years old) at this visitationEnter the number of ADULT(S) baptized (16 years old+) at this visitation*Enter the full name of ADULT(S) baptized (16 years old+) at this visitationConfirmation InformationEnter the number of people received at this visitation*Enter the full name of those confirmed at this visitation...Reception InformationEnter the number of people confirmed at this visitation*Enter the full name of those received at this visitationReaffirmation InformationEnter the number of people reaffirmed at this visitation*Enter the full name of those reaffirmed at this visitationSubmitName of person submitting form*Email of person submitting form* CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
